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

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:100

Enthalten in:

Medicine - 100(2021), 24 vom: 18. Juni, Seite e26386

Sprache:

Englisch

Beteiligte Personen:

Ting, Ning-Shiuan [VerfasserIn]
Lee, Hsiang-Chen [VerfasserIn]
Ke, Jia-Ying [VerfasserIn]
Li, Pei-Chen [VerfasserIn]
Ding, Dah-Ching [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Journal Article

Anmerkungen:

Date Completed 24.06.2021

Date Revised 03.01.2023

published: Print

Citation Status MEDLINE

doi:

10.1097/MD.0000000000026386

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32676609X