authors
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Tadeusz Spruch, Robert Klijer, Jerzy Michalak, Andrzej Jezierski
- Katedra i Klinika Urologii AM w Lublinie
Kierownik: prof, dr hab. med. Tadeusz Spruch
keywords
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ureter, ureterovaginal fistula, therapy
summary
- Objective: Treatment results of 33 women suffering from uretero-vaginal fistulas have been presented.
- Material and methods: In the period of 1966-1999 in Urology Clinic Medical Academy in Lublin 33 women with uretero-vaginal fistula were treated. The diagnosis was made using: history, urography, cystoscopy examination, ascending pyelography and ureteral catherisation. All women were operated in different period of time, from 3 days to 3 months.
- Results: In group of 33 women, 27 had one-side fistula and 4 bilateral fistulas. Two women additionaly had vesicovaginal fistulas. 32 patients have been completely cured, in 3 cases nephrectomy was performed. One patient died due to bilateral pneumonia.
- Conclusion: The most frequent cause of the uretero-vaginal fistulas were gynecologic operations. The best results have been achieved in patients after early reconstruction of the urinary tract.
references
- [1] Asmusen VI.. Miller A: Urologia ginekologiczna. PZWL.War-szawa. 1988. 171,
- [2] Czaplicki M.. Malewski A.W.. Judycki J: Zastosowanie przezskór-nejpiseiokinerkowejw leczeniu przetoki moczowodowo-pochwowej (opis przypadku). Uroi. Pol. ,1993. 46 , 71-74.
- [3] Wesołowski S.: Urazy moczowodów. Warszawa, PZWL, 1980.
- [4] Adamkiewicz K.. Fryczkowski M.: Wielomiejscone uszkodzenieróg moczowych po operacjach ginekologicznych. Wiad. Lek.,1966,4,301-304.
- [5] Badenoch D.F., Tipiali R.C.. Tlmkar D.R., Fowler CO., Blandy .1 .P: Early repair of act idenlal injury to the ureter or bladderfolio-wing gynaecological surgery. Br.J.Urol. 1987. 59. 516-518.
- [6] Blandy J.P., Badenoch D.F.. Fowler C.G.. Jenkins H.J., Thomas N.W ,M: Early repair of iatrogenic injury to the ureter or bladder after gynaecological surgery. J. Urol 1991. 146. 761-765.
- [7] Goodwin W. H., Scardino P. T: Vesicovaginal and weterovaginal fistulas: a summary of 25 years of experience. J.Urol. 1980. 123. 370-374.
correspondence
Tadeusz Spruch
Klinika Urologii AM w Lublinie
Ul. Jaczewskiego 8 20-950 Lublin \\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'
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