尿生殖瘘大部分病例采取由阴道途径进行修补。从我院160例尿生殖瘘的临床分析资料,144例手术中由阴道途径修补者98例,耻骨上膀胱内途径46例,占31.9％。其中输尿管阴道瘘和输尿管损伤13例除外,尚占22.9％。说明膀胱阴道瘘的病例将近四分之一病例可由耻骨上膀胱内进行修补,这些病例中约50％是在阴道修补有困难或瘘口过大由耻骨上加阴道联合 Most cases of urogenital fistula by vaginal approach to repair. According to the clinical data of 160 cases of urogenital fistula in our hospital, 98 cases were repaired by vaginal approach in 144 cases and 46 cases were suprapubic cystic duct (31.9%). Including ureteral fistula and ureteral injury in 13 cases except, still accounting for 22.9%. Almost a quarter of cases with vesico-vaginal fistula can be repaired in the suprapubic bladder, and about 50% of these cases have difficulty in repairing the vagina or the fistula is too large and the vulva is combined with the vagina