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Updated: Jul 19, 2026
Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Repair of uterocutaneous fistula
Dinesh Shukla1, Suruchi Pandey, Lakshmi Kant Pandey
1Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India. vkshuklabhu@satyam.net.in
Background:
Uterocutaneous fistula is a rare condition that may be difficult to manage.
Case:
A young woman who underwent surgical intervention for cryptomenorrhea 3 years ago developed menstrual discharge from the abdominal scar. A fistulous tract leading from the infraumbilical midline scar to the uterus was demonstrated on contrast study. Genital examination revealed vaginal agenesis. A vaginoplasty was performed as the first stage. This was followed one year later by excision of the fistulous tract and establishment of cervicovaginal communication. The patient is now menstruating from the vaginal passage.
Conclusion:
This case shows that a stepwise, well-planned, and well-executed procedure can lead to a satisfactory repair of an uterocutaneous fistula.
