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[Experiences with bladder-uterus fistulae].

W Fischer, D Lamm

Zentralblatt Fur Gynakologie

|January 1, 1977

Summary

This summary is machine-generated.

Obstetric treatment complications led to a fourfold increase in vesicouterine fistulas over 20 years. Surgical intervention, primarily vaginal metroplasty, proved effective for most cases, with 14 patients recovering.

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Area of Science:

Gynecology
Urology
Obstetrics

Context:

Vesicouterine fistulas, including vesicocervical, vesicocervicovaginal, and vesicocervicocorporeal types, are analyzed over a 20-year period.
A significant fourfold increase in these fistula cases compared to 1941-1955 indicates a rising trend.
The majority of fistulas originated as complications of obstetric treatment.

Purpose:

To report on the incidence and management of vesicouterine fistulas.
To evaluate the effectiveness of different surgical techniques for fistula repair.
To explore potential reasons for the observed increase in fistula cases.

Summary:

The study reviewed 15 cases of vesicouterine fistulas (5 vesicocervical, 9 vesicocervicovaginal, 1 vesicocervicocorporeal) over two decades.

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Conservative treatment was successful in only one case; surgical intervention was required for the rest.

Vaginal metroplasty was the preferred surgical approach, with hysterectomy or stump exstirpation used in four cases. Combined fistulas necessitated vaginoabdominal treatment.

Overall, 14 patients achieved recovery. The increase in fistulas is linked to intensive obstetric therapies and cesarean section rates.

Impact:

Highlights the importance of surgical skill in urogynaecological procedures.
Suggests a correlation between modern obstetric practices and fistula incidence.
Emphasizes the efficacy of vaginal surgical routes for fistulas located near the vagina.