Abstract:
INTRODUCTION:Most of the patients with bladder genital tract fistula recover with surgical treatment. In the present study, we aimed to assess conservative treatment strategies for bladder genital tract fistula. PATIENT CONCERNS:We reviewed 3 cases with bladder genital tract fistula who underwent treatment at our hospital from January to June 2017. Patient 1 underwent cesarean delivery, Patient 2 underwent total abdominal hysterectomy bilateral salpingo-oophorectomy (TAHBSO) and pelvic lymphadenectomy, and Patient 3 underwent extensive TAHBSO and pelvic lymphadenectomy. All 3 patients exhibited involuntary vaginal fluid outflow (average duration, 12.7 days; range, 7-21 days). DIAGNOSIS:Patient 1 was diagnosed as vesicouterine fistula by cystosonography and Patient 2, Patient 3 was diagnosed as vesicovaginal fistula by cystoscopy. INTERVENTIONS:All 3 patients underwent indwelling urinary catheterization. OUTCOMES:No vaginal fluid outflow could be observed after treatment of all 3 patients. CONCLUSION:Indwelling urinary catheterization should be administered for suitable patients as conservative treatment. If vesicouterine fistulas that are simple and have a diameter of <0.5 cm can be treated conservatively. If the condition does not resolve after 2 months, surgery should be considered.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
He Z,Cui L,Wang J,Gong F,Jia Gdoi
10.1097/MD.0000000000021430subject
Has Abstractpub_date
2020-07-31 00:00:00pages
e21430issue
31eissn
0025-7974issn
1536-5964pii
00005792-202007310-00080journal_volume
99pub_type
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