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 UNUSUAL CASE
Year : 2006  |  Volume : 2  |  Issue : 2  |  Page : 79-80

Vesicovaginal fistula: An unusual complication of laparoscopic assisted nephroureterectomy


Departments of Urology, Addenbrookes' Hospital, Cambridge, United Kingdom

Correspondence Address:
Anant Kumar
Department of Urology, SGPGIMS, Raebareli Road, Lucknow - 226 010
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.26648

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We report a case of vesicovaginal fistula in 71-year-old lady who had previously undergone a lapascopic assisted nephroureterectomy for transitional cell carcinoma in her right ureter and kidney. The surgery was uncomplicated with no post-operative problems and was discharged on day on seven. She later presented five weeks following the initial operation with signs and symptoms suggestive of a vesicovaginal fistula, which was confirmed on cystogram and flexible cystosopy. She proceeded to have an abdominal (O'Connor's) repair of the fistula together with cystodiathermy for a few superficial bladder recurrences. The area of the fistula (within the bladder) was noted to be tumour free. She had an uneventful post-operative recovery and was discharged from hospital on day 11. At six month follow-up, there was another superficial recurrence in the bladder that was resected, with no sign of fistula.






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