從民國七十五年至七十九年這五年間中山醫院附設醫院泌尿科治療了十七位因婦科手術引起泌尿道併發症的病人。其中一位是輸尿管狹窄，十位是輸尿管陰道瘻管，六位是膀胱陰道瘻管，這十七位病人手術前都未曾接受放射線治療。對於十一位輸尿管傷害的病人，靜脈腎盂造影術、膀胱鏡和逆行性腎盂造影術這三項檢查都能提供充分的資料來確定診斷。一位輸尿管狹窄的病人以經皮前行性輸尿管導管治療，十位輸尿管陰道瘻管的病人採用延遲手術時間的治療。經過婦科手術後四天到六星期的等待，二位中段輸尿管陰道瘻管的病人採用輸尿管輸尿管吻合術，十位下斷輸尿管陰道瘻管的病人採用尿管膀胱重接術，術後追蹤十一位病人都有良好的結果。因為六位膀胱陰道瘻管的病人轉診至本科時，時間都已超過二個月，所以沒有採用保守導尿管引流的治療方法。四位膀胱陰道瘻管的病人施行經膀胱瘻管切除術，二位膀胱陰道瘻管病人，因瘻管接近輸尿管口或影響輸尿管運送尿的功能，故施行輸尿管膀胱重接手術。六位病人手術後追蹤，瘻管都已關閉。婦科手術引起的泌尿道傷害造成病人生活困擾(連續性滲尿)或因輸尿管傷害造成的腎功能傷害。早期診斷，延遲手術治療的時間和適當手術方法，能有個令人滿意的結果。

During the years between 1986-1990, 17 women with genitourinary complication resulted from previous gynecologic surgery were seen at Chung Shan Medical & Dental College Hospital in Taichung Taiwan. Eleven women had injured ureters. Six had vesicovaginal fistulas. Of the women with ureteral injuries, 1 had a ureteral strictrue which was treated by using an antegrade ureteral stent. The other 10 had ureterovaginal fistulas which were resolved by ureteroureterostomy or ureteroneocystostomy after a waiting interval for more than 4-6 weeks post-poeratively. Follow-up urogram showed good drainage in all patients. Unfortunately, no cases of vesicovaginal fistulas were referred to our department earlier than 2 months following their gynecologic surgery, so no vesicovaginal fistulas closed spontaneously. Of the 6 women who presented with vesicovaginal fistulas, all were repaired using the abdominal transvisical approach and 2 of them with uretero-neocvstostomy concomitantly. Primary healing took place in all patients.