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Related Experiment Videos

Vesicosalpingovaginal fistula

B I Turner, L Ekbladh, M Edson

    Urology
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    This study reports the first case of a vesicovaginal fistula using the fallopian tube as a conduit. Symptoms like recurrent urinary tract infections followed a prior vaginal hysterectomy.

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    Area of Science:

    • Gynecology
    • Urology
    • Surgical Case Reports

    Background:

    • Vesicovaginal fistulas are abnormal connections between the bladder and vagina.
    • They can arise after gynecological surgery, notably hysterectomy.
    • The fallopian tube is an unusual conduit for such fistulas.

    Observation:

    • A patient presented with recurrent urinary tract infections and cuff abscess.
    • These symptoms occurred three years after a vaginal hysterectomy.
    • Imaging and surgical exploration revealed a fistula involving the fallopian tube.

    Findings:

    • The first documented case of a vesicovaginal fistula where the fallopian tube acts as the connecting passage.
    • The fistula connected the bladder directly to the vagina via the fallopian tube.

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  • Clinical presentation included persistent infection and abscess formation.

    • Implications:

    • Highlights a rare but serious complication of vaginal hysterectomy.
    • Suggests the fallopian tube can be an unexpected pathway for urinary-vaginal fistulas.
    • Emphasizes the need for thorough diagnostic evaluation in post-hysterectomy patients with persistent lower urinary tract symptoms.