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Vesicocutaneous Fistula: A Rare Complication of Pelvic Trauma

Open Journal of Obstetrics and Gynecology 2017年第2期7卷 245-249页

作者： I. Sunday-Adeoye k. C. Ek.edigwe k. waaldijk A. B. C. Daniyan M. E. Isik.uemen M. O. Eliboh S. M. Uguru S. C. Ok.nwa National Obstetric Fistula Centre Abakaliki Nigeria

Back.round: Vesicocutaneous fistula is a rare type of urinary fistula. It is often distressing and may negatively impact on the quality of life of an affected person. Our aim in this case report is to document a case of vesicocutaneous fistula following pelvic trauma from road traffic accident and share our experience in the management of this condition. Case Report: We report the case of a 30 year-old primipara who had urinary incontinence following pelvic trauma sustained from road traffic accident. Examination findings were in k.eping with vesicocutaneous fistula. She subsequently had surgical repair of vesicocutaneous fistula which was successful. Conclusion: This case report highlights pelvic trauma as one of the causes of urinary fistula and the k.y role of surgery in its management.

关键词： Vesicocutaneous Fistula Pelvic Trauma Road Traffic Accident Bladder

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早期产瘘的直接治疗

引用

世界核心医学期刊文摘（妇产科学分册） 2005年第2期1卷 12-13页

作者： waaldijk k. 龚雯洁 Babbar Rug a Fistula Hospital KatsinaNigeria Dr.

Objective It has been a general rule t o wait with the repairof an obstetric fistula for a minimum period of 3months allowing the patient to become an out *** a prospective way an immediate management was studied and antibiotics were not used,all according to basic surgical *** A total of 1716patients with a fistula duration of 3to 75days after delivery were treate d immediately on pre-sentation by catheter and /or early c *** of an-tibiotics,a high oral fluid regimen was *** fistulas were classified according to anatomic and physio-logic location in types I,IIAa,IIAb,IIBa,and IIBb,and according to size in small,medium,l arge,and *** operation became progressively more complicated from type I through type IIBb and from small through *** At first attempt 1633fistul as(95.2%)were closed and another 57could be closed at further attempt (s),ac-counting for a final closure in 1690p atients(98.5%);264patients(15.4%)were healed by catheter *** these 1690patients with a closed fis tula,1575(93.2%)were continent and 115(6.8%)were *** results as to closure and to continen ce became progressively worse from type I through type IIBb an d from small through *** wound inf ection was not noted;postoperative mortality was encountered in 6patients(0.4%).Conclusion This immediate managem ent proves highly effective in terms of closure and continence and will prevent the patient from becoming an outcast with progres-sive downgrading medically,socially,and mentally.

关键词：大小便失禁替代抗生素初期治疗操作方法愈合程度手术伤口

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