膀胱子宮瘻の1例

Abstract

帝王切開に続発した膀胱子宮瘻の25歳女で, 経尿道的瘻孔凝固術を行い, 尿失禁の消失を見た.2ヵ月後, 失禁が再発したので, 開腹し, 膀胱を切開し, 膀胱及び子宮頸部の瘻孔付近の瘢痕を含む組織を切除し, それぞれ2層に縫合し, 膀胱と子宮の間に腹膜を介在させ手術を終えた.術後, 現在迄泌尿器科的異常は認めていない

A 25-year-old woman suffered a vesicouterine fistula following cesarean section. Cystoscopic fulguration of the fistula was attempted, resulting in disappearance of incontinence. Two months later, incontinence recurred and open surgical repair was performed transabdominally. After resection and closure of the fistula with the help of peritoneal flap interposition, the patient became free from incontinence.