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Принципы диагностики и лечения мочеполовых свищей у женщин (обзор литературы)
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Loran O.B., Seregin A.V., Dovlatov Z.A. Principles of diagnosis and treatment of urogenital fistulas in women (literature review). Consilium Medicum. 2015; 17 (7): 12–15. DOI: 10.26442/2075-1753_2015.7.12-15
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Ключевые слова: мочеполовые свищи, факторы риска свищей, диагностика свищей, оперативное лечение свищей.
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Key words: urinary fistulas, fistulas risk factors, diagnosis of fistula, surgical treatment of fistulas.
2. Kayondo M, Wasswa S, Kabakyenga J et al. Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC Urol 2011; 11: 23.
3. Frajzyngier V, Li G, Larson E et al. Development and comparison of prognostic scoring systems for surgical closure of genitourinary fistula. Am J Obstet Gynecol 2013; 208 (2): 112.e1–11.
4. Frajzyngier V, Ruminjo J, Asiimwe F et al. Factors influencing choice of surgical route of repair of genitourinary fistula, and the influence of route of repair on surgical outcomes: findings from a prospective cohort study. BJOG 2012; 119 (11): 1344–53.
5. Пушкарь Д.Ю., Раснер П.И., Гвоздев М.Ю. Мочеполовые свищи. Рус. мед. журн. 2013; 34: 2–4. / Pushkar' D.Iu., Rasner P.I., Gvozdev M.Iu. Mochepolovye svishchi. Rus. med. zhurn. 2013; 34: 2–4. [in Russian]
6. Singh O, Gupta SS, Mathur RK. Urogenital fistulas in women: 5-year experience at a single center. Urol J 2010; 7 (1): 35–9.
7. Wall LL. Obstetric vesicovaginal fistula as an international public-health problem. Lancet 2006; 368 (9542): 1201–9.
8. Guidi E, Grigolini A, Marchetti M et al. Urogenital fistulas: a pictorial review. European Congress of Radiology. 2013. Poster C-2062. [cited 2013 Aug 10]. http://dx.doi.org/10.1594/ecr2013/C-2062
9. Hilton P. Urogenital fistulae – surgical. In: Cardozo L, Staskin D, editors. Textbook of female urology and urogynecology, 2-volume set, second edition. London: Informa Healthcare, 2006; p. 1223–38.
10. Frajzyngier V, Ruminjo J, Barone MA. Factors influencing urinary fistula repair outcomes in developing countries: a systematic review. Am J Obstet Gynecol 2012; 207 (4): 248–58.
11. Hilton P. Urogenital fistula in the UK: a personal case series managed over 25 years. BJU Int 2012; 110 (1): 102–10.
12. Armenakas NA, Pareek G, Fracchia JA. Iatrogenic bladder perforations: longterm followup of 65 patients. J Am Coll Surg 2004; 198 (1): 78–82.
13. Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol 2012; 53 (11): 795–9.
14. Härkki-Sirén P, Sjöberg J, Tiitinen A. Urinary tract injuries after hysterectomy. Obstet Gynecol 1998; 92 (1): 113–8.
15. Gungorduk K, Asicioglu O, Celikkol O et al. Iatrogenic bladder injuries during caesarean delivery: a case control study. J Obstet Gynaecol 2010; 30 (7): 667–70.
16. Rahman MS, Gasem T, Al Suleiman SA et al. Bladder injuries during cesarean section in a University Hospital: a 25-year review. Arch Gynecol Obstet 2009; 279 (3): 349–52.
17. Duong TH, Gellasch TL, Adam RA. Risk factors for the development of vesicovaginal fistula after incidental cystotomy at the time of a benign hysterectomy. Am J Obstet Gynecol 2009; 201 (5): 512.e1–4.
18. Vakili B, Chesson RR, Kyle BL et al. The incidence of urinary tract injury during hysterectomy: a prospective analysis based on universal cystoscopy. Am J Obstet Gynecol 2005; 192 (5): 1599–604.
19. Rafique M. Intravesical foreign bodies: review and current management strategies. Urol J 2008; 5 (4): 223–31.
20. Summerton DJ, Djakovic N, Kitrey ND et al. European Association of Urology. Guidelines on Urological Trauma. 2013. [cited 2013 Dec 30]. www.uroweb.org/gls/pdf/1406Urological%20Trauma_LR.pdf
21. Novara G, Artibani W, Barber MD et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 2010; 58 (2): 218–38.
22. Long CY, Hsu CS, Wu MP et al. Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. Curr Opin Obstet Gynecol 2009; 21 (4): 342–7.
23. Dreitlein DA, Suner S, Basler J. Genitourinary trauma. Emerg Med Clin North Am 2001; 19 (3): 569–90.
24. Wohlrab KJ, Sung VW, Rardin CR. Management of laparoscopic bladder injuries. J Minim Invasive Gynecol 2011; 18 (1): 4–8.
25. Kristensen I, Eldoma M, Williamson T et al. Complications of the tension-free vaginal tape procedure for stress urinary incontinence. Int Urogynecol J 2010; 21 (11): 1353–7.
26. Stav K, Dwyer PL, Rosamilia A et al. Risk factors for trocar injury to the bladder during midurethral sling procedures. J Urol 2009; 182 (1): 174–9.
27. Fazlioglu A, Tandogdu Z, Kurtulus FO et al. Perivesical inflammation and necrosis due to mitomycin C instillation after transurethral resection of bladder tumor: we must be vigilant! Urol Int 2009; 83 (3): 362–3.
28. Balbay MD, Cimentepe E, Unsal A et al. The actual incidence of bladder perforation following transurethral bladder surgery. J Urol 2005; 174 (6): 2260–2.
29. El Hayek OR, Coelho RF, Dall’oglio MF et al. Evaluation of the incidence of bladder perforation after transurethral bladder tumor resection in a residency setting. J Endourol 2009; 23 (7): 1183–6.
30. Collado A, Chechile GE, Salvador J et al. Early complications of endoscopic treatment for superficial bladder tumors. J Urol 2000; 164 (5): 1529–32.
31. Angioli R, Penalver M, Muzii L et al. Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol Hematol 2003; 48 (3): 295–304.
32. McKay HA. Vesicovaginal fistula repair: transurethral suture cystorrhaphy as a minimally invasive alternative. J Endourol 2004; 18 (5): 487–90.
33. Cohen BL, Gousse AE. Current techniques for vesicovaginal fistula repair: surgical pearls to optimize cure rate. Curr Urol Rep 2007; 8 (5): 413–8.
34. Najiaghdam Y. Genito-urinary fistulas. [cited 2015 Feb 10]. http://www.slideshare.net/yashar22/genito-urinary-fistula.
35. Кан Д.В. Руководство по акушерской и гинекологической урологии. М.: Медицина, 1978. / Kan D.V. Rukovodstvo po akusherskoi i ginekologicheskoi urologii. M.: Meditsina, 1978. [in Russian]
36. Мажбиц А.М. Оперативная урогинекология. Л.: Медицина, 1964. / Mazhbits A.M. Operativnaia uroginekologiia. L.: Meditsina, 1964. [in Russian]
37. Waaldijk K. Surgical classification of obstetric fistulas. Int J Gynaecol Obstet 1995; 49 (2): 161–3.
38. Goh JT. A new classification for female genital tract fistula. Aust N Z J Obstet Gynaecol 2004; 44 (6): 502–4.
39. Kobashi KC, Leach GE. Ureterovaginal fistula. In: Drutz HP, Herschorn S, Diamant NE, editors. Female pelvic medicine and reconstructive pelvic surgery. London: Springer, 2003; p. 465–70.
40. Rutman MP, Deng DY, Rodriguez LV. Evaluation and management of vesicovaginal fistulas. In: Goldman HB, Vasavada SP, editors. Female urology: a practical clinical guide. Totowa, New Jersey: Humana Press, 2007; p. 309–26.
41. Bansal MC, Patel J. Urogenital fistulas. [cited 2015 Aug 11]. http://www.slideshare.net/drmcbansal/management-of-genitourinary-fistula?qid=308dca40-bd6b-4b15-904e...
42. Rovner ES. Urinary tract fistulae. In: A.J.Wein, editor-in-chief, L.R.Kavoussi, A.C.Novick, A.W.Partin, C.A.Peters, editors. Campbell-Walsh Urology. 10th ed. Philadelphia, USA: Elsevier Saunders, 2012; p. 2223–61.
43. Переверзев А.С. Пузырно-влагалищные свищи: этиология, выбор метода лечения и профилактика. Медицинские аспекты здоровья женщины. 2010; 3: 60–5. / Pereverzev A.S. Puzyrno-vlagalishchnye svishchi: etiologiia, vybor metoda lecheniia i profilaktika. Meditsinskie aspekty zdorov'ia zhenshchiny. 2010; 3: 60–5. [in Russian]
44. Пушкарь Д.Ю., Попов А.А., Гвоздев М.Ю. и др. Лечение уретровлагалищных свищей. Рос. вестн. акушера-гинеколога. 2011; 5: 38–41. / Pushkar' D.Iu., Popov A.A., Gvozdev M.Iu. i dr. Lechenie uretrovlagalishchnykh svishchei. Ros. vestn. akushera-ginekologa. 2011; 5: 38–41. [in Russian]
45. Пушкарь Д.Ю., Попов А.А., Касян Г.Р. и др. Диагностика и лечение больных с уретровлагалищными свищами. Рос. вестн. акушера-гинеколога. 2012; 1: 77–81. / Pushkar' D.Iu., Popov A.A., Kasian G.R. i dr. Diagnostika i lechenie bol'nykh s uretrovlagalishchnymi svishchami. Ros. vestn. akushera-ginekologa. 2012; 1: 77–81. [in Russian]
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1. Ghoniem GM, Warda HA. The management of genitourinary fistula in the third millennium. Arab J Urol 2014; 12 (2): 97–105.
2. Kayondo M, Wasswa S, Kabakyenga J et al. Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC Urol 2011; 11: 23.
3. Frajzyngier V, Li G, Larson E et al. Development and comparison of prognostic scoring systems for surgical closure of genitourinary fistula. Am J Obstet Gynecol 2013; 208 (2): 112.e1–11.
4. Frajzyngier V, Ruminjo J, Asiimwe F et al. Factors influencing choice of surgical route of repair of genitourinary fistula, and the influence of route of repair on surgical outcomes: findings from a prospective cohort study. BJOG 2012; 119 (11): 1344–53.
5. Pushkar' D.Iu., Rasner P.I., Gvozdev M.Iu. Mochepolovye svishchi. Rus. med. zhurn. 2013; 34: 2–4. [in Russian]
6. Singh O, Gupta SS, Mathur RK. Urogenital fistulas in women: 5-year experience at a single center. Urol J 2010; 7 (1): 35–9.
7. Wall LL. Obstetric vesicovaginal fistula as an international public-health problem. Lancet 2006; 368 (9542): 1201–9.
8. Guidi E, Grigolini A, Marchetti M et al. Urogenital fistulas: a pictorial review. European Congress of Radiology. 2013. Poster C-2062. [cited 2013 Aug 10]. http://dx.doi.org/10.1594/ecr2013/C-2062
9. Hilton P. Urogenital fistulae – surgical. In: Cardozo L, Staskin D, editors. Textbook of female urology and urogynecology, 2-volume set, second edition. London: Informa Healthcare, 2006; p. 1223–38.
10. Frajzyngier V, Ruminjo J, Barone MA. Factors influencing urinary fistula repair outcomes in developing countries: a systematic review. Am J Obstet Gynecol 2012; 207 (4): 248–58.
11. Hilton P. Urogenital fistula in the UK: a personal case series managed over 25 years. BJU Int 2012; 110 (1): 102–10.
12. Armenakas NA, Pareek G, Fracchia JA. Iatrogenic bladder perforations: longterm followup of 65 patients. J Am Coll Surg 2004; 198 (1): 78–82.
13. Lee JS, Choe JH, Lee HS, Seo JT. Urologic complications following obstetric and gynecologic surgery. Korean J Urol 2012; 53 (11): 795–9.
14. Härkki-Sirén P, Sjöberg J, Tiitinen A. Urinary tract injuries after hysterectomy. Obstet Gynecol 1998; 92 (1): 113–8.
15. Gungorduk K, Asicioglu O, Celikkol O et al. Iatrogenic bladder injuries during caesarean delivery: a case control study. J Obstet Gynaecol 2010; 30 (7): 667–70.
16. Rahman MS, Gasem T, Al Suleiman SA et al. Bladder injuries during cesarean section in a University Hospital: a 25-year review. Arch Gynecol Obstet 2009; 279 (3): 349–52.
17. Duong TH, Gellasch TL, Adam RA. Risk factors for the development of vesicovaginal fistula after incidental cystotomy at the time of a benign hysterectomy. Am J Obstet Gynecol 2009; 201 (5): 512.e1–4.
18. Vakili B, Chesson RR, Kyle BL et al. The incidence of urinary tract injury during hysterectomy: a prospective analysis based on universal cystoscopy. Am J Obstet Gynecol 2005; 192 (5): 1599–604.
19. Rafique M. Intravesical foreign bodies: review and current management strategies. Urol J 2008; 5 (4): 223–31.
20. Summerton DJ, Djakovic N, Kitrey ND et al. European Association of Urology. Guidelines on Urological Trauma. 2013. [cited 2013 Dec 30]. www.uroweb.org/gls/pdf/1406Urological%20Trauma_LR.pdf
21. Novara G, Artibani W, Barber MD et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol 2010; 58 (2): 218–38.
22. Long CY, Hsu CS, Wu MP et al. Comparison of tension-free vaginal tape and transobturator tape procedure for the treatment of stress urinary incontinence. Curr Opin Obstet Gynecol 2009; 21 (4): 342–7.
23. Dreitlein DA, Suner S, Basler J. Genitourinary trauma. Emerg Med Clin North Am 2001; 19 (3): 569–90.
24. Wohlrab KJ, Sung VW, Rardin CR. Management of laparoscopic bladder injuries. J Minim Invasive Gynecol 2011; 18 (1): 4–8.
25. Kristensen I, Eldoma M, Williamson T et al. Complications of the tension-free vaginal tape procedure for stress urinary incontinence. Int Urogynecol J 2010; 21 (11): 1353–7.
26. Stav K, Dwyer PL, Rosamilia A et al. Risk factors for trocar injury to the bladder during midurethral sling procedures. J Urol 2009; 182 (1): 174–9.
27. Fazlioglu A, Tandogdu Z, Kurtulus FO et al. Perivesical inflammation and necrosis due to mitomycin C instillation after transurethral resection of bladder tumor: we must be vigilant! Urol Int 2009; 83 (3): 362–3.
28. Balbay MD, Cimentepe E, Unsal A et al. The actual incidence of bladder perforation following transurethral bladder surgery. J Urol 2005; 174 (6): 2260–2.
29. El Hayek OR, Coelho RF, Dall’oglio MF et al. Evaluation of the incidence of bladder perforation after transurethral bladder tumor resection in a residency setting. J Endourol 2009; 23 (7): 1183–6.
30. Collado A, Chechile GE, Salvador J et al. Early complications of endoscopic treatment for superficial bladder tumors. J Urol 2000; 164 (5): 1529–32.
31. Angioli R, Penalver M, Muzii L et al. Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol Hematol 2003; 48 (3): 295–304.
32. McKay HA. Vesicovaginal fistula repair: transurethral suture cystorrhaphy as a minimally invasive alternative. J Endourol 2004; 18 (5): 487–90.
33. Cohen BL, Gousse AE. Current techniques for vesicovaginal fistula repair: surgical pearls to optimize cure rate. Curr Urol Rep 2007; 8 (5): 413–8.
34. Najiaghdam Y. Genito-urinary fistulas. [cited 2015 Feb 10]. http://www.slideshare.net/yashar22/genito-urinary-fistula.
35. Kan D.V. Rukovodstvo po akusherskoi i ginekologicheskoi urologii. M.: Meditsina, 1978. [in Russian]
36. Mazhbits A.M. Operativnaia uroginekologiia. L.: Meditsina, 1964. [in Russian]
37. Waaldijk K. Surgical classification of obstetric fistulas. Int J Gynaecol Obstet 1995; 49 (2): 161–3.
38. Goh JT. A new classification for female genital tract fistula. Aust N Z J Obstet Gynaecol 2004; 44 (6): 502–4.
39. Kobashi KC, Leach GE. Ureterovaginal fistula. In: Drutz HP, Herschorn S, Diamant NE, editors. Female pelvic medicine and reconstructive pelvic surgery. London: Springer, 2003; p. 465–70.
40. Rutman MP, Deng DY, Rodriguez LV. Evaluation and management of vesicovaginal fistulas. In: Goldman HB, Vasavada SP, editors. Female urology: a practical clinical guide. Totowa, New Jersey: Humana Press, 2007; p. 309–26.
41. Bansal MC, Patel J. Urogenital fistulas. [cited 2015 Aug 11]. http://www.slideshare.net/drmcbansal/management-of-genitourinary-fistula?qid=308dca40-bd6b-4b15-904e...
42. Rovner ES. Urinary tract fistulae. In: A.J.Wein, editor-in-chief, L.R.Kavoussi, A.C.Novick, A.W.Partin, C.A.Peters, editors. Campbell-Walsh Urology. 10th ed. Philadelphia, USA: Elsevier Saunders, 2012; p. 2223–61.
43. Pereverzev A.S. Puzyrno-vlagalishchnye svishchi: etiologiia, vybor metoda lecheniia i profilaktika. Meditsinskie aspekty zdorov'ia zhenshchiny. 2010; 3: 60–5. [in Russian]
44. Pushkar' D.Iu., Popov A.A., Gvozdev M.Iu. i dr. Lechenie uretrovlagalishchnykh svishchei. Ros. vestn. akushera-ginekologa. 2011; 5: 38–41. [in Russian]
45. Pushkar' D.Iu., Popov A.A., Kasian G.R. i dr. Diagnostika i lechenie bol'nykh s uretrovlagalishchnymi svishchami. Ros. vestn. akushera-ginekologa. 2012; 1: 77–81. [in Russian]
1 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 125993, Россия, Москва, ул. Баррикадная, д. 2/1;
2 ГБУЗ Городская клиническая больница им. С.П.Боткина Департамента здравоохранения г. Москвы. 125284, Россия, Москва, 2-й Боткинский пр., д. 5
*dovlatov80@mail.ru
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1 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125995, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1;
2 S.P.Botkin City clinical hospital of the Department of Health of Moscow. 125284, Russian Federation, Moscow, 2-i Botkinskii pr., d. 5
*dovlatov80@mail.ru