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Title: Vesico-vaginal fistula : Experience of 230 cases
Authors: Wachira Kochakarn
Vira Viseshsindh
Phaitun Gojaseni
Krisada Ratana-Olarn
Verasing Muangman
Mahidol University
Keywords: Medicine
Issue Date: 1-Oct-2000
Citation: Journal of the Medical Association of Thailand. Vol.83, No.10 (2000), 1129-1132
Abstract: We reviewed 230 cases of vesico-vaginal fistula in Ramathibodi Hospital from 1969 to 1997. The cases of fistula included 164 cases after transabdominal hysterectomies, 5 cases after anterior colporrhaphies, 8 cases after radical hysterectomy, 23 cases after vaginal hysterectomy, 10 cases after prolonged or traumatic birth, 9 cases after radiation for cervical carcinoma, 7 cases of cervical cancer invasion, 2 cases after suprapubic cystolithotomy and 2 cases after pelvic fracture. Most of them were referred from other hospitals. In 7 cases, the fistula closed spontaneously after indwelling urethral catheters for 4-6 weeks. Five cases were cured after transurethral fulgurations. The rest were treated with different surgical procedures i.e. transvaginal, transvesical and retrovesical repairs. Ten cases were treated by urinary diversions, usually after failure using other surgical procedures.
ISSN: 01252208
Appears in Collections:Scopus 1991-2000

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