Complete Cervico-Uretral Transections: A Vesicovaginal Fistula Not Like the Other

• 作者: Dramane Cisse Abdoulaye Traore Honoré Jean Gabriel Berthe Mory Kone Modibo Coulibaly Diamilatou Thiam Djibril Traoré Bréhima Traoré Mamadou Tidiani Coulibaly Alkadri Diarra Amadou Kassogue Moussa Salifou Diallo Oumar Guindo
• 来源期刊: 泌尿学期刊(英文)
• 学科: 医学
• 关键词: Vesicovaginal Fistula Cervico-Urethral Transection Urinary Incontinence URETHRA BLADDER
• 年，卷（期）: 2021,（3）
• 页码范围: 73-86
• 页数: 14页
• 分类号: R69

摘要

<strong>Introduction:</strong> Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. <strong>Patients and Methods:</strong> This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. <strong>Results:</strong> Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. <strong>Conclusion:</strong> Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.