Vesicovaginal Fistula After Fourteen Years of Pelvic Radiation

Authors

  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Hema Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal

Keywords:

Cervical carcinoma, fistula, radiation

Abstract

Radiation therapy is an effective treatment for cervical cancer. However, of various complications, irradiation sometimes can cause formation of fistula between vagina and bladder and or rectum compromising the quality of life. Pelvic radiation is the primary cause of delayed vesicovaginal fistula with incidence of 13% in well-resourced countries and 0.2% in low resourced countries. Majority of them become apparent 1.5-2 years after completion of radiotherapy and can occur even up-to 20-30 years after the original insult. A 63 years’ female visited our outpatient department for involuntary loss of urine per vagina for 1.5 years. She had undergone radical hysterectomy and radiotherapy 16 years ago for an advanced cervical carcinoma. With positive dye test, she had vesicovaginal fistula with Goh classification of 1biii. She underwent simple fistula repair via vaginal approach. After three weeks of catheterization, successful closure was achieved.

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Published

2018-11-18

How to Cite

Tiwari, K. D., Karki, A., Dangal, G., Pradhan, H., Shrestha, R., Bhattachan, K., Poudel, R., & Bajracharya, N. (2018). Vesicovaginal Fistula After Fourteen Years of Pelvic Radiation. Nepal Journal of Obstetrics and Gynaecology, 13(2), 60–62. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/21707

Issue

Section

Case Reports