婦人科手術後の尿瘻

Abstract

Twenty urinary fistula after gynecological operations were experienced during 8 years, 1964 to 1971. They consisted of ureterovaginal fistula 12, vesicovaginal fistula 6, both of them 1 and vesicorectal fistula 1. Closure of the fistula has to be considered depending on when it developed, how it is serious, what is cause and whether associated infection is present, because spontaneous closure can be occasionally expected. Results of operative closure have to be evaluated as to cessation of urinary fistula as well as improvement of urinary stasis. Overall success rate was 66 %. Location of the fistula and choice of technique may be the important factors influencing the results of surgery. In vesicovaginal fistula, the result was quite poor in the post-irradiation group and much better in the postoperative group.