膀胱腟瘻について

Abstract

Five cases of vesicovaginal fistula have been r e ported, cause of which were tuberculosis, radiation effect and recurrence of cancer after the surgical procedure for carcinoma of uterus, artificial delivering and abortus. All of them were treated by divertion of urinary tract, since it was considered that the closure of fistula alone was unsuccessful and inadequate for these cases. Aetiology, incidence a n d surgical treatment of this disease have been discussed in. this paper. Although ureterosigmoidostomy has been thought in generally to be dangerous because of high mortality due to hyperchloremic acidosis, this procedure, however, was dare chosen in our cases from the reason that ureterocutaneostomy was not convenient for the patient. Two of five cases have had almost satisfactory postoperative course, enjoying their lives without trouble so far. It seems that these facts shows th e ureterosigmoidostomy should not be completely abandoned as a surgical operation for diversion of urinary tract, and our efforts could be continued towards to an improvement of this method itself.