Delayed presentation and successful repair of a recurrent vesicovaginal fistula after hysterectomy and primary abdominal repair.

Published

Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Flynn, MK; Amundsen, CL

Published Date

  • January 2004

Published In

  • Int Urogynecol J Pelvic Floor Dysfunct

Volume / Issue

  • 15 / 1

Start / End Page

  • 53 - 55

PubMed ID

  • 14752601

Pubmed Central ID

  • 14752601

Digital Object Identifier (DOI)

  • 10.1007/s00192-003-1089-5

Language

  • eng

Conference Location

  • England