膀胱三角下部与尿道近端缺损形成的低位性膀胱阴道瘘,因暴露不好,阴道尿道壁间又有致密的结缔组织相连不易分离,故经阴道或膀胱内、外途径修补都很困难,我们曾用切除耻骨用带蒂大网膜修补的方法,一次手术治愈一例低位性膀胱阴道瘘,现报告如下:患者女,24岁,已婚,农民。1982年12月14日入院。1982年11月11日因第一胎足月妊娠分娩难产,产后第二十天起从阴道漏尿,曾在当地及市内某医院诊治未愈。既往史无特殊,一般体检、化验无异常。妇检:会阴三度破裂,阴道前壁距尿道口3cm 处有一3×2.5cm 瘘口,椭圆形,尿液不断从瘘口流 Bladder lower urinary tract and lower urinary tract proximal urethral fistula formation of low, due to poor exposure, vaginal urethral wall again dense connective tissue is not easy to separate, so the vaginal or intra-bladder and external repair channels are very difficult, we Had used to remove the pubic symphysis with pedicled repair method, a case of surgery to cure a case of low-grade vesicovaginal fistula, are as follows: The patient female, 24 years old, married, farmer. December 14, 1982 admission. November 11, 1982 due to first-term full-term pregnancy childbirth childbirth, vaginal leakage from the twentieth day after childbirth, had a local hospital in the city and cure healed. No previous history, the general physical examination, laboratory no abnormalities. Gynecological examination: rupture of the third of the perineum, vaginal anterior wall from the urethra 3cm at a 3 × 2.5cm fistula, oval, urine from the fistula mouth