A Rare Case of Combined Vesico-Vaginal and Vesico-Cutaneous Fistulae Treated by One-Stage Surgical Repair  

作　　者：Sunday Jenner Lengmang Edwin Oseni-Momodu Paul Ushie George Anyuku Azubuike Chima 

机构地区：[1]Evangel Vesico Vaginal Fistula Centre, Bingham University Teaching Hospital, Jos, Nigeria [2]Surgery Department, Bingham University, Jos Campus, Jos, Nigeria [3]Family Medicine Department, Bingham University, Jos campus, Jos, Nigeria

出　　处：《Open Journal of Obstetrics and Gynecology》2017年第7期702-706,共5页妇产科期刊（英文）

摘　　要：Combined vesico-vaginal and vesico-cutaneous fistulae are exceptionally rare. We present a young woman who had combined vesico-vaginal fistula and vesico-cutaneous fistula following prolonged obstructed labour and caesarean section. The patient presented at three months of illness with total urine incontinence from the vagina and lower abdominal skin. One-stage surgical repair of both fistulae was done. The patient had a successful closure of the fistulae, regained full urinary continence, and remained continent at six months follow-up. We opine that one-stage repair of combined vesico-vaginal and vesico-cutaneous fistulae is feasible and preferred. Providers of pelvic surgery in low resource countries should be supervised and retrained accordingly, in order to prevent iatrogenic vesico-cutaneous fistula.Combined vesico-vaginal and vesico-cutaneous fistulae are exceptionally rare. We present a young woman who had combined vesico-vaginal fistula and vesico-cutaneous fistula following prolonged obstructed labour and caesarean section. The patient presented at three months of illness with total urine incontinence from the vagina and lower abdominal skin. One-stage surgical repair of both fistulae was done. The patient had a successful closure of the fistulae, regained full urinary continence, and remained continent at six months follow-up. We opine that one-stage repair of combined vesico-vaginal and vesico-cutaneous fistulae is feasible and preferred. Providers of pelvic surgery in low resource countries should be supervised and retrained accordingly, in order to prevent iatrogenic vesico-cutaneous fistula.

关 键 词：Vesico-Vaginal Vesico-Cutaneous Fistula Iatrogenic 

分 类 号：R73[医药卫生—肿瘤]