A Rare Case of Combined Vesico-Vaginal and Vesico-Cutaneous Fistulae Treated by One-Stage Surgical Repair

• 作者: Edwin Oseni-Momodu George Anyuku Azubuike Chima Paul Ushie Sunday Jenner Lengmang
• 来源期刊: 妇产科期刊(英文)
• 学科: 医学
• 关键词: Vesico-Vaginal Vesico-Cutaneous Fistula Iatrogenic
• 年，卷（期）: 2017,（7）
• 页码范围: 702-706
• 页数: 5页
• 分类号: R73

摘要

Combined vesico-vaginal and vesico-cutaneous fistulae are exceptionally rare. We present a young woman who had combined vesico-vaginal fistula and vesico-cutaneous fistula following prolonged obstructed labour and caesarean section. The patient presented at three months of illness with total urine incontinence from the vagina and lower abdominal skin. One-stage surgical repair of both fistulae was done. The patient had a successful closure of the fistulae, regained full urinary continence, and remained continent at six months follow-up. We opine that one-stage repair of combined vesico-vaginal and vesico-cutaneous fistulae is feasible and preferred. Providers of pelvic surgery in low resource countries should be supervised and retrained accordingly, in order to prevent iatrogenic vesico-cutaneous fistula.