Search PubMed⌕ Search

Biomedical subjects

A Ashamallah

Publications and source records attributed to A Ashamallah.

7 recordsLinked to original sources
PubMed1995

Urovaginal fistulae: 20 years' experience.

During the last 20 years we treated 86 patients suffering from urovaginal fistulae. The highest incidence of fistulae occurred in the third and fourth decades of life (31 and 28 patients, respectively). The incidence was very low after the age of 50 (only 2 patients). Fistulae were either simple between the bladder and vagina (54 cases), urethra and vagina (13 cases) and ureter and vagina (7 cases) or complex connecting more than two organs in 12 cases. The causative trauma was difficult prolonged labour with trial forceps in 28 patients. Fistulae followed caesarean section with or without hysterectomy in 24 women. Hysterectomy, whether abdominal or vaginal, was followed by fistulae in 19 cases. Five cases refused operation and 1 was medically unfit. Ureterovaginal fistulae were successfully treated with ureteroneocystostomy. Vesicovaginal fistulae were met with in 54 cases (3 cases required diversion, 1 was medically unfit and 46 were successfully repaired and 4 failed). Simple repair was performed in 30 cases, repair and flap interposition in 12, ileocystoplasty in 7 and colocystoplasty in 1. Urethral fistulae were reported in 13 cases (simple repair in 11 cases and neourethra in 2), of these, 10 were successfully corrected. Complex fistulae were diagnosed in 12 cases (3 required diversion, 5 refused operation, 2 successfully repaired and 2 unsuccessfully corrected). The 2 successfully repaired case were 1 ureterovisicovaginal (treated with ileocystoplasty) and 1 cervicovesicovaginal (treated with repair and flap interposition). The 2 failures were ureterovesicovaginal and treated with simple repair.

Adolescent↗
PubMed1983

Ileal replacement of the bilharzial ureter: is it worthwhile?

Our 14-year experience with the use of isolated ileal segments for replacement of the bilharzial ureter is analyzed retrospectively. Of 52 patients subjected to this procedure followup data were available for 38, in whom 52 ureters were repaired. The results generally were unsatisfactory: the morbidity and mortality rates were high and the percentage of functional improvement was low. The risk was higher for patients with low creatinine clearance. Therefore, we recommend that this operation be avoided when possible. If the operation is unavoidable, tapering of the ileal segment with antireflux ileovesical anastomosis may improve the outcome. Further clinical study must be done.

Adult↗