Korean J Urol.  2004 Feb;45(2):194-196.

Urethrovaginal Fistula due to Behcet's Disease

Affiliations
  • 1Department of Urology, College of Midicine, Dong-a University Hospital, Busan, Korea.

Abstract

Behcet's disease is a multisystem disorder presented with recurrent oral and genital ulcerations as well as ocular involvement. The principal manifestations in the urinary system are glomerulonephritis, cystitis, epididymitis, orchitis, and genital ulcerations. Urethrovaginal fistula is an unusual complication. The primary lesion of the disease is a small vessel vasculitis with endothelial deposition of immunocomplexes, and consequent inflammatory and necrotizing process of the vascular wall. We experienced a 19-year-old woman with Behcet's disease, who had a large urethrovaginal fistula on the anterior vaginal wall. The size of fistula was 2x1cm. For this patient, we tried combining bulbocavernosus muscle and labial fat pad flap (Martius flap) urethral reconstruction. This operative method seemed to be safe and effective for the urethral defect with Behcet's disease.

Keyword

Fistula; Behcet disease

MeSH Terms

Adipose Tissue
Behcet Syndrome
Cystitis
Epididymitis
Female
Fistula*
Glomerulonephritis
Humans
Male
Orchitis
Ulcer
Vasculitis
Young Adult
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