Total uterine prolapse complicated with vesicovaginal fistula : A case report
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc..
RATIONALE: Vesicovaginal fistula (VVF) most commonly occurs due to iatrogenic injury during surgery or obstructed labor. We report a rare case of a patient with severe pelvic organ prolapse who developed VVF even though pessary had not been used.
PATIENT CONCERNS: A 63-year-old postmenopausal woman, para 3 (all spontaneous vaginal deliveries), complained of vaginal bulging sensation and involuntary urinary leakage for 3 years.
DIAGNOSIS: Stage IV uterine prolapse with VVF.
INTERVENTIONS: She underwent transvaginal VVF repair combined with total vaginal hysterectomy and sacrospinous ligament fixation. The postoperative course was uncomplicated.
OUTCOMES: The patient remained free of complications during the 1-year follow-up.
LESSONS: This case illustrates the point that patients with pelvic organ prolapse (POP) should be treated promptly and careful follow-up should be conducted. Clinicians should be aware of the symptoms of VVF to ensure its early diagnosis and treatment.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:100 |
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Enthalten in: |
Medicine - 100(2021), 24 vom: 18. Juni, Seite e26386 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Ting, Ning-Shiuan [VerfasserIn] |
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Date Completed 24.06.2021 Date Revised 03.01.2023 published: Print Citation Status MEDLINE |
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doi: |
10.1097/MD.0000000000026386 |
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funding: |
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520 | |a Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. | ||
520 | |a RATIONALE: Vesicovaginal fistula (VVF) most commonly occurs due to iatrogenic injury during surgery or obstructed labor. We report a rare case of a patient with severe pelvic organ prolapse who developed VVF even though pessary had not been used | ||
520 | |a PATIENT CONCERNS: A 63-year-old postmenopausal woman, para 3 (all spontaneous vaginal deliveries), complained of vaginal bulging sensation and involuntary urinary leakage for 3 years | ||
520 | |a DIAGNOSIS: Stage IV uterine prolapse with VVF | ||
520 | |a INTERVENTIONS: She underwent transvaginal VVF repair combined with total vaginal hysterectomy and sacrospinous ligament fixation. The postoperative course was uncomplicated | ||
520 | |a OUTCOMES: The patient remained free of complications during the 1-year follow-up | ||
520 | |a LESSONS: This case illustrates the point that patients with pelvic organ prolapse (POP) should be treated promptly and careful follow-up should be conducted. Clinicians should be aware of the symptoms of VVF to ensure its early diagnosis and treatment | ||
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700 | 1 | |a Ding, Dah-Ching |e verfasserin |4 aut | |
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