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Tuberculous vesico-vaginal fistula
1Department of Obstetrics and Gynaecology, Institute of Medicine, Yangon, Myanmar, Burma.
Summary
Tuberculosis can cause urinary fistulas. This case highlights successful surgical repair of a complex vesico-vaginal fistula resulting from tuberculous cystitis.
Area of Science:
- Urology
- Infectious Diseases
- Gastroenterology
Background:
- Genitourinary tuberculosis is a rare but serious complication of Mycobacterium tuberculosis infection.
- Vesico-vaginal fistulas are abnormal connections between the bladder and vagina, often leading to significant morbidity.
Observation:
- A 32-year-old female with a history of pulmonary tuberculosis presented with urinary incontinence.
- Clinical examination revealed a vesico-vaginal fistula. Imaging showed active pulmonary tuberculosis, right hydronephrosis, and a contracted bladder with fistulous openings.
Findings:
- Histological examination of the bladder wall confirmed tuberculous cystitis.
- Surgical intervention involving cecocystoplasty and fistula repair was successfully performed.
Implications:
- This case underscores the importance of considering tuberculosis in the differential diagnosis of genitourinary fistulas, particularly in endemic areas.
- Successful surgical management can restore quality of life for patients with complex fistulas secondary to tuberculosis.