TITLE:
A Rare Case of Combined Vesico-Vaginal and Vesico-Cutaneous Fistulae Treated by One-Stage Surgical Repair
AUTHORS:
Sunday Jenner Lengmang, Edwin Oseni-Momodu, Paul Ushie, George Anyuku Azubuike Chima
KEYWORDS:
Vesico-Vaginal, Vesico-Cutaneous, Fistula, Iatrogenic
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.7 No.7,
July
12,
2017
ABSTRACT: 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.