[Results of the treatment of lower urinary tract fistulas and stenoses in gynaecology and obstetrics (author's transl)].

Abstract:

:The results of the treatment of 40 vesico-vaginal fistulas, 13 uretero-vesical fistulas, 2 ureto-uterine fistulas are 44 lower ureteral stenosis are reported. These developed following operative and radio-therapeutic treatment in gynaecology and obstetrics. The vesico-vaginal fistulas were operated through the vagine according to Fueth-Mayo. Even after failed primary operation a repeat vaginal operation was successful. In uretero-vesical fistulas a spontaneous healing cannot be expected later than 8 weeks after the primary operation and an operation for the fistula is then indicated. The results of 13 operations for uretero-vesical fistulas are described. In 12 cases a uretero-cystoneostomy was performed and in one case Boari plastic was done. Two ureto-uterine fistulas were treated by end to end anastomosis of the ureters which was successful. The treatment of post-operative stenosis of the ureter was primarily conservative and resulted in marked improvement on 18 of 24 cases. In 5 of 6 cases a ureto-cystonestomy or ureterolysis yielded good results.

authors

Lange J,Hardt W

subject

Has Abstract

pub_date

1977-04-01 00:00:00

pages

322-6

issue

4

eissn

0016-5751

issn

1438-8804

journal_volume

37

pub_type

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