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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 2, No. 2, 2006, pp. 79-80
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Bioline Code: ma06015
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 2, No. 2, 2006, pp. 79-80
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Unusual Case-Vesicovaginal fistula: An unusual complication of laparoscopic assisted nephroureterectomy
Pillai RajivG, Patel AmeetS, Kumar Anant
Abstract
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.
Keywords
Laparoscopic nephroureterectomy, operative complications, vesico-vaginal fistula, perative technique
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