A case report--delayed vesicocutaneous fistula after radiation therapy for advanced vulvar cancer

This is the first case report of a vesicocutaneous fistula related to prior radiation therapy for recurrent vulvar cancer. Urinary tract complications happen not infrequently after radiation therapy for various pelvic malignancy. It can occur as long as 30 years after cessation of such therapy. Urinary incontinence or obstructive uropathy is, by far, the most common complication. The authors report an unusual complication secondary to radiation therapy. The aetiology, presentation and management of this patient were discussed.