盆腔器官脱垂(pelvic organ prolapse,POP)是部分老年女性面临的问题,且发病率逐年升高,子宫托治疗是该疾病的一种保守治疗方法,也是一线治疗方法。但如果使用不当,治疗过程中也可能会出现多种并发症,严重者不得不需要手术干预,有的甚...盆腔器官脱垂(pelvic organ prolapse,POP)是部分老年女性面临的问题,且发病率逐年升高,子宫托治疗是该疾病的一种保守治疗方法,也是一线治疗方法。但如果使用不当,治疗过程中也可能会出现多种并发症,严重者不得不需要手术干预,有的甚至会威胁生命。目前国际上关于子宫托治疗缺乏统一指南,治疗操作不规范和患者依从性差与并发症发生密切相关。总结归类运用子宫托治疗的相关并发症,介绍一种子宫托相关并发症的评级方法,针对并发症的预防提出了部分解决方法。展开更多
Vulvar Crohn’s disease (VCD) is a rare complication of Crohn’s disease, especially in pediatric population. An early diagnosis can result difficult if the complication does not present in conjunction with the classi...Vulvar Crohn’s disease (VCD) is a rare complication of Crohn’s disease, especially in pediatric population. An early diagnosis can result difficult if the complication does not present in conjunction with the classic gastrointestinal symptoms that characterize this disease. In this study we present the case of a 12-year-old girl whose initial symptom of Crohn’s disease was a symptomatic vulvar swelling promoted by a rectovaginal fistula. We also provide an overview of Crohn’s disease and the vulvar changes found in the course of this disease.展开更多
In this manuscript the authors have studied the various causes of vesico-vaginal fistula (VVF) and described etiology, clinical characteristics, and surgical outcome of VVF patients managed at CCBRT. They show that ou...In this manuscript the authors have studied the various causes of vesico-vaginal fistula (VVF) and described etiology, clinical characteristics, and surgical outcome of VVF patients managed at CCBRT. They show that out of 155 patients 104 had surgery for VVF, 25 for stress incontinence (SI), 7 for perineal tears, 6 for recto-vaginal fistula (RVF) and 5 for other reasons, such as urethral strictures and bladder stones. They found a rate of 37 (35.58% out of 104 patients) with definitely iatrogenic fistula and therefore support the observation also made by others that there is a shift in etiology of VVF.展开更多
Vesico-vaginal fistula is still a major problem in the developing world, in particularNigeria. Vesico-uterine fistula (Youssef’s syndrome) following relief of obstructed labor by caesarean section is commoner than pr...Vesico-vaginal fistula is still a major problem in the developing world, in particularNigeria. Vesico-uterine fistula (Youssef’s syndrome) following relief of obstructed labor by caesarean section is commoner than previously thought. We report a case of Mrs U.B. a 28-year-old P2+0 with one living child, who presented with a history of 20 amenorrhea and infertility of 8 years duration. She had caesarean section to relieve an obstructed labor with macerated stillbirth in her last pregnancy. As part of her routine investigation for 20 amenorrhea and infertility, a request for ultrasound scan was made. Ultrasound pictures are presented and discussed. Standard diagnostic investigations for Youssef’s syndrome are by cystoscopy, intravenous urogram and or hysterosalpingography, sonodiagnosis (sonohysterography) is primarily not resorted. We recommend as a standard investigation tool, Ultrasound scan (Sonodiagnosis) for all patients with Vesicovaginal fistula.展开更多
文摘盆腔器官脱垂(pelvic organ prolapse,POP)是部分老年女性面临的问题,且发病率逐年升高,子宫托治疗是该疾病的一种保守治疗方法,也是一线治疗方法。但如果使用不当,治疗过程中也可能会出现多种并发症,严重者不得不需要手术干预,有的甚至会威胁生命。目前国际上关于子宫托治疗缺乏统一指南,治疗操作不规范和患者依从性差与并发症发生密切相关。总结归类运用子宫托治疗的相关并发症,介绍一种子宫托相关并发症的评级方法,针对并发症的预防提出了部分解决方法。
文摘Vulvar Crohn’s disease (VCD) is a rare complication of Crohn’s disease, especially in pediatric population. An early diagnosis can result difficult if the complication does not present in conjunction with the classic gastrointestinal symptoms that characterize this disease. In this study we present the case of a 12-year-old girl whose initial symptom of Crohn’s disease was a symptomatic vulvar swelling promoted by a rectovaginal fistula. We also provide an overview of Crohn’s disease and the vulvar changes found in the course of this disease.
文摘In this manuscript the authors have studied the various causes of vesico-vaginal fistula (VVF) and described etiology, clinical characteristics, and surgical outcome of VVF patients managed at CCBRT. They show that out of 155 patients 104 had surgery for VVF, 25 for stress incontinence (SI), 7 for perineal tears, 6 for recto-vaginal fistula (RVF) and 5 for other reasons, such as urethral strictures and bladder stones. They found a rate of 37 (35.58% out of 104 patients) with definitely iatrogenic fistula and therefore support the observation also made by others that there is a shift in etiology of VVF.
文摘Vesico-vaginal fistula is still a major problem in the developing world, in particularNigeria. Vesico-uterine fistula (Youssef’s syndrome) following relief of obstructed labor by caesarean section is commoner than previously thought. We report a case of Mrs U.B. a 28-year-old P2+0 with one living child, who presented with a history of 20 amenorrhea and infertility of 8 years duration. She had caesarean section to relieve an obstructed labor with macerated stillbirth in her last pregnancy. As part of her routine investigation for 20 amenorrhea and infertility, a request for ultrasound scan was made. Ultrasound pictures are presented and discussed. Standard diagnostic investigations for Youssef’s syndrome are by cystoscopy, intravenous urogram and or hysterosalpingography, sonodiagnosis (sonohysterography) is primarily not resorted. We recommend as a standard investigation tool, Ultrasound scan (Sonodiagnosis) for all patients with Vesicovaginal fistula.
