A method for the repair of vesicovaginal fistulas

摘要: Objective: To determine the efficacy of sliding layers method for repairing vesicovaginal fistulas caused by surgical trauma. Method: Twenty one women suffering from after trauma, operated on between 1990 and 1995 using method, were included in an uncontrolled prospective study followed 24 months procedure. Patient outcome was assessed according to subjective estimation, gynecological examination objectively instillation diluted methylene blue urinary bladder. Results: Sixteen out 21 patients suffered being subjected abdominal hysterectomy five vaginal surgery. Fourteen located 5 10 mm over interureteric edge, trigone two bladder neck region. Fistula size ranged 35 diameter but 72.1% patient less than diameter. Only had a large defect According estimation objective assessment overall success rate procedure 2 years 95.2%. be second successful attempt fistula closure. Conclusion: The is safe reliable approach repair