PDF(Pubmed)
Abstract：
UNASSIGNED: One of the few remaining important issues in urological and gynaecological surgery relates to fistulas between the urinary tract and the vagina. Vesicovaginal fistula (VVF) and ureterovaginal fistulas (UVF) are defined as abnormal connections between the urinary tract, on the one side, and the female genital system, on the other.
UNASSIGNED: This study is about an unreported and undescribed case of 24 year old female who presented with the complaints of continuous urinary incontinence for 18 months following total abdominal hysterectomy. Preoperative cystoscopy and vaginal/speculum findings revealed a papillary frond like mass protruding intravesically from VVF site which was free from the edges of fistulous opening all around. Also, left ureteric orifice was not visualized. On exploration, there was evidence of intravesical herniation of right tubal fimbria through the common opening of VVF and left UVF near left vaginal vault apex mimicking a bladder mass presenting with continuous incontinence for 18 months. Modified O\' Conners VVF repair with left ureteric reimplantation was done. The postoperative period was uneventful with patient having no incontinence.
UNASSIGNED: It seems that surgical resection of ovarian cyst with VVF and UVF repair is the definitive treatment and histopathological examination is essential to exclude malignant transformation.
UNASSIGNED: This study is about an unreported and undescribed case of 24 year old female who presented with the complaints of continuous urinary incontinence for 18 months following total abdominal hysterectomy. Preoperative cystoscopy and vaginal/speculum findings revealed a papillary frond like mass protruding intravesically from VVF site which was free from the edges of fistulous opening all around. Also, left ureteric orifice was not visualized. On exploration, there was evidence of intravesical herniation of right tubal fimbria through the common opening of VVF and left UVF near left vaginal vault apex mimicking a bladder mass presenting with continuous incontinence for 18 months. Modified O\' Conners VVF repair with left ureteric reimplantation was done. The postoperative period was uneventful with patient having no incontinence.
UNASSIGNED: It seems that surgical resection of ovarian cyst with VVF and UVF repair is the definitive treatment and histopathological examination is essential to exclude malignant transformation.
摘要：
UASSIGNED：泌尿外科和妇科手术中剩下的几个重要问题之一与泌尿道和阴道之间的瘘有关。膀胱阴道瘘（VVF）和输尿管阴道瘘（UVF）被定义为泌尿道之间的异常连接，在一边,和女性生殖系统，在另一个。
UNASSIGNED：本研究是关于一例未报告和未描述的24岁女性，在全腹子宫切除术后出现持续尿失禁18个月的主诉。术前膀胱镜检查和阴道/镜检查结果显示，从VVF部位膀胱内突出的乳头状叶状肿块，周围无瘘管开口的边缘。此外，未观察到左输尿管口。在探索中，有证据表明,通过VVF和左侧UVF的共同开口,右侧输卵管纤维腔内疝在左侧阴道穹窿顶端附近形成膀胱肿块,表现为持续18个月的尿失禁.进行改良O\'ConnersVVF修复和左输尿管再植术。术后时间顺利，患者无尿失禁。
UASSIGNED：手术切除卵巢囊肿伴VVF和UVF修复似乎是明确的治疗方法，而组织病理学检查对于排除恶性转化至关重要。
UNASSIGNED：本研究是关于一例未报告和未描述的24岁女性，在全腹子宫切除术后出现持续尿失禁18个月的主诉。术前膀胱镜检查和阴道/镜检查结果显示，从VVF部位膀胱内突出的乳头状叶状肿块，周围无瘘管开口的边缘。此外，未观察到左输尿管口。在探索中，有证据表明,通过VVF和左侧UVF的共同开口,右侧输卵管纤维腔内疝在左侧阴道穹窿顶端附近形成膀胱肿块,表现为持续18个月的尿失禁.进行改良O\'ConnersVVF修复和左输尿管再植术。术后时间顺利，患者无尿失禁。
UASSIGNED：手术切除卵巢囊肿伴VVF和UVF修复似乎是明确的治疗方法，而组织病理学检查对于排除恶性转化至关重要。
