Through an endoscopic transvesico-transurethral approach, we closed a vesicovaginal fistula that occurred after hysterectomy in a patient with uterine leiomyoma. The 3-mm fistula, located in the midportion of retrotrigone, was resected transurethrally and sutured in two layers through two 5-mm suprapubic trocars placed into the bladder and the urethral route under pneumobladder. The patient had no urine leakage from the vagina after surgery.

译文

通过内窥镜经膀胱-经尿道入路,我们关闭了子宫平滑肌瘤患者子宫切除术后发生的膀胱阴道瘘。位于后三叉肌中部的3毫米瘘管经尿道切除,并通过放置在膀胱和尿道下的两个5毫米耻骨上套管针缝合两层。患者术后无阴道漏尿。

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