Clinical management of female genito-urinary fistula

Charlotte Mahoney, Fiona Reid
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引用次数: 0

Abstract

Genito-urinary fistula describes an abnormal connection between an epithelial surface of the female genital tract and the urological tract. The UK incidence is 100–120 cases per year with the majority caused by iatrogenic injury during pelvic surgery, most commonly involving the bladder. Women describe continuous vaginal leakage of urine. If the bladder fistula is diagnosed within 6 weeks of the index injury conservative treatment with an indwelling catheter on free drainage is recommended. Surgical repair ideally is performed by vaginal approach, with the abdominal approach reserved for ureteric fistula. Surgery is best performed in one of the high volume supra-regional fistula centres.

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女性泌尿生殖系统瘘的临床治疗
泌尿生殖道瘘是指女性生殖道上皮表面与泌尿道之间的异常连接。英国的发病率为每年 100-120 例,大多数是由盆腔手术中的先天性损伤引起的,最常见的是膀胱损伤。妇女会描述阴道持续漏尿。如果在损伤后 6 周内诊断出膀胱瘘,建议使用留置导尿管进行自由引流的保守治疗。手术修补最好从阴道入路,输尿管瘘则应从腹部入路。手术最好在高容量的超区域瘘管中心进行。
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来源期刊
Obstetrics, Gynaecology and Reproductive Medicine
Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology
CiteScore
0.90
自引率
0.00%
发文量
67
期刊介绍: Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.
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Editorial Board Editorial Board Genomics and hereditary cancer syndromes in women's health: a focus on gynaecological management Self-assessment questions Management of antepartum haemorrhage
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