Delayed presentation and successful repair of a recurrent vesicovaginal fistula after hysterectomy and primary abdominal repair.
Urogenital fistulae are an uncommon consequence of gynecologic surgery. Vesicovaginal fistulae due to gynecologic surgery generally appear 1-6 weeks after surgery and recurrent fistulae within 3 months of their repair. The pathogenesis of vesicovaginal fistula formation remains unclear. We present the case of a 36-year-old woman with a spontaneously recurring vesicovaginal fistula 21 months after abdominal repair of a vesicovaginal fistula caused by a laparoscopic-assisted vaginal hysterectomy. During the repair of the fistula and excision of the vaginal cuff, two small fluid-filled cysts between the bladder mucosa and the vaginal epithelium were encountered. Vesicovaginal fistulae can occur spontaneously and remote from surgery. The finding of small fluid-filled cysts in the cuff suggests that rupture of a similar cyst may have led to the formation of the fistula.
Duke Scholars
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DOI
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Related Subject Headings
- Vesicovaginal Fistula
- Vagina
- Time Factors
- Rupture
- Recurrence
- Postoperative Complications
- Obstetrics & Reproductive Medicine
- Laparoscopy
- Hysterectomy
- Humans
Citation
Published In
DOI
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Vesicovaginal Fistula
- Vagina
- Time Factors
- Rupture
- Recurrence
- Postoperative Complications
- Obstetrics & Reproductive Medicine
- Laparoscopy
- Hysterectomy
- Humans