{"title":"子宫积液患者膀胱外翻经膀胱阴道瘘1例报告","authors":"Nikki Fennimore, S. Boyles, M. Denman","doi":"10.1097/SPV.0000000000001176","DOIUrl":null,"url":null,"abstract":"V esicovaginal fistulas (VVFs) are uncommon with an incidence in developed countries of 0.3% to 2.0%. Complete bladder eversion through a VVF is even more rare. Given this, treatment options vary based on the patient's characteristics and treating health care provider's preferences. The first surgical attempt at repair has the highest probability of success and, thus, attention to good surgical technique is paramount. We present a patient who presented with complete bladder eversion through a VVF and resultant renal failure and anemia. We describe a multistep approach in regards to repair of the bladder eversion andVVF, aswell as definitive surgical management of her procidentia, resulting in improved renal function and no requirement for urinary diversion.","PeriodicalId":48831,"journal":{"name":"Female Pelvic Medicine and Reconstructive Surgery","volume":"28 1","pages":"e231 - e232"},"PeriodicalIF":1.4000,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Uterine Procidentia: A Case Report\",\"authors\":\"Nikki Fennimore, S. Boyles, M. Denman\",\"doi\":\"10.1097/SPV.0000000000001176\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"V esicovaginal fistulas (VVFs) are uncommon with an incidence in developed countries of 0.3% to 2.0%. Complete bladder eversion through a VVF is even more rare. Given this, treatment options vary based on the patient's characteristics and treating health care provider's preferences. The first surgical attempt at repair has the highest probability of success and, thus, attention to good surgical technique is paramount. We present a patient who presented with complete bladder eversion through a VVF and resultant renal failure and anemia. We describe a multistep approach in regards to repair of the bladder eversion andVVF, aswell as definitive surgical management of her procidentia, resulting in improved renal function and no requirement for urinary diversion.\",\"PeriodicalId\":48831,\"journal\":{\"name\":\"Female Pelvic Medicine and Reconstructive Surgery\",\"volume\":\"28 1\",\"pages\":\"e231 - e232\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2022-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Female Pelvic Medicine and Reconstructive Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/SPV.0000000000001176\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Female Pelvic Medicine and Reconstructive Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SPV.0000000000001176","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Uterine Procidentia: A Case Report
V esicovaginal fistulas (VVFs) are uncommon with an incidence in developed countries of 0.3% to 2.0%. Complete bladder eversion through a VVF is even more rare. Given this, treatment options vary based on the patient's characteristics and treating health care provider's preferences. The first surgical attempt at repair has the highest probability of success and, thus, attention to good surgical technique is paramount. We present a patient who presented with complete bladder eversion through a VVF and resultant renal failure and anemia. We describe a multistep approach in regards to repair of the bladder eversion andVVF, aswell as definitive surgical management of her procidentia, resulting in improved renal function and no requirement for urinary diversion.
期刊介绍:
Female Pelvic Medicine & Reconstructive Surgery, official journal of the American Urogynecologic Society, is a peer-reviewed, multidisciplinary journal dedicated to specialists, physicians and allied health professionals concerned with prevention, diagnosis and treatment of female pelvic floor disorders. The journal publishes original clinical research, basic science research, education, scientific advances, case reports, scientific reviews, editorials and letters to the editor.