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Vestcovaginal fistula after radiotherapy of uterine cervix cancer

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Author:
LI Qin-xiu(Department of Gynaecology and Obstetrics,First Affiliated Hospital of Guangzhou Medical College,Guangzhou 510120,China)
Journal Title:
CHINA MEDICINE
Issue:
Volume 4, Issue 08, 2009
DOI:
10.3760/cma.j.issn.1673-4777.2009.08.035
Key Word:
Vesicovaginal fistula;Uterine cervix cancer;Radiotherapy

Abstract: Objective To explore the treatment on vesieovaginal fistula (VVF) after radiotherapy of uterine cervix cancer. Methods Ten cases of VVF after radiotherapy of uterine cervix cancer were analyzed retrospectively. All patients were diagnosed by eystoscope and methyhhioninium chloride test. Two eases were diagnosed after curetive radiotherapy and other 8 cases after adjuvant radiotherapy. The VVFs were diagnosed at 3~58 months after radiotherapy. Results The VVFs were repaired at 4~ 16 months after diagnosis. 6 cases were successfully repaired, 3 were given urinary diversion (1 case for tumor locally relapse and 2 cases for severe radioactive damage) and 1 ease failed for tumor relapse and locally infiltrate. Conclusions The repair of VVF after radiotherapy of uterine cervix cancer is difficult. The timing of repair and controlling of tumor are important for the operation outcome. Urinary diversion should be considered in patients with severe radioactive damage or local tumor relapse.

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