Vesicovaginal Fistula Post Caesarean Hysterectomy

  • Manisha Maharjan 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
  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Shreena Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal

Abstract

Genitourinary fistula is an abnormal communication between the urinary tract and genital tract, most common being the vesicovaginal fistula. In most of the cases fistula results mainly due to poor obstetric care in developing countries, where as in developed countries most of the urogenital fistulas are iatrogenic. It is mainly diagnosed by clinical examinations and intravesical dye test using methylene blue. Repair can be done via abdominal or vaginal route based on the findings. Here we present a case of 27 years postnatal mother referred to our centre with diagnosis of vesicovaginal fistula post cesarean hysterectomy that was repaired successfully via vaginal approach.

Keywords: cesaerean hysterectomy, urinary leakage, vesicovaginal fistula

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Abstract
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PDF
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Published
2020-06-07
How to Cite
Maharjan, M., Karki, A., Dangal, G., Pradhan, H., Shrestha, R., Poudel, R., Bajracharya, N., Shrestha, S., Tiwari, K., & Bharati, S. (2020). Vesicovaginal Fistula Post Caesarean Hysterectomy. Nepal Journal of Obstetrics and Gynaecology, 15(1), 84-85. https://doi.org/10.3126/njog.v15i1.29351
Section
Case Reports