| UNUSUAL CASE |
|
| Year : 2006 | Volume
: 2
| Issue : 2 | Page : 79-80 |
Vesicovaginal fistula: An unusual complication of laparoscopic assisted nephroureterectomy
Rajiv G Pillai, Ameet S Patel, Anant Kumar
Departments of Urology, Addenbrookes' Hospital, Cambridge, United Kingdom
Correspondence Address:
Anant Kumar
Department of Urology, SGPGIMS, Raebareli Road, Lucknow - 226 010
United Kingdom
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.26648
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.
[FULL TEXT] [PDF]*
|
