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Case Reports
. 2013 Jan-Mar;11(1):119-21.
doi: 10.1590/s1679-45082013000100022.

Continent vesicovaginal fistula

[Article in English, Portuguese]
Luís Gustavo Morato de Toledo  1 , Victor Espinheira Santos, Paulo Eduardo Gourlat Maron, Bruno César Vedovato, Moacyr Fucs, Marjo Deninson Cardenuto Perez
Affiliations
Case Reports

Continent vesicovaginal fistula

[Article in English, Portuguese]
Luís Gustavo Morato de Toledo et al. Einstein (Sao Paulo). 2013 Jan-Mar.

Abstract
in English, Portuguese

Vesicovaginal fistula is an abnormal communication between the bladder and vagina and represents the most frequent type of fistula in the urinary tract. The most common cause in Brazil is iatrogenic fistula, secondary to histerectomia. Classically these women present continuous urinary leakage from the vagina and absence of micturition, with strong negative impact on their quality of life. We present a case of totally continent vesicovaginal fistula, with a follow-up of 11 years with no complications.

A fístula vesicovaginal é uma comunicação anormal entre a bexiga e a vagina, sendo o tipo mais comum de fístula do trato urinário. A causa mais frequente no Brasil é a iatrogênica, secundária à histerectomia. Classicamente, as mulheres nessa condição, apresentam perda urinária contínua pela vagina e ausência de micção, com forte impacto negativo na qualidade de vida. Apresentamos um caso de fístula vesicovaginal totalmente continente, com seguimento de 11 anos, sem complicações.

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Figures

Figure 1
Figure 1. Vesicovaginal fistula 4-cm in diameter
Figure 2
Figure 2. Index finger inserted in the vagina through the fistula
Figure 3
Figure 3. Voluntary micturition via both the vagina and urethra
Figure 4
Figure 4. Absence of urinary leakage with a full bladder: a) rest and b) cough
See this image and copyright information in PMC

References

    1. Wall LL. Obstetric vesicovaginal fistula as an international public-health problem. Lancet. 2006;368(9542):1201–1209. - PubMed
    1. Duong TH, Taylor DP, Meeks GR. A multicenter study of vesicovaginal fistula following incidental cystotomy during benign hysterectomies. Int Urogynecol J. 2011;22(8):975–979. - PubMed
    1. Eilber KS, Kavaler E, Rodríguez LV, Rosenblum N, Raz S. Ten-year experience with transvaginal vesicovaginal fistula repair using tissue interposition. J. Urol. 2003;169(3):1033–1036. - PubMed
    1. Bø K. Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work? Int Urogynecol J. Pelvic Floor Dysfunct. 2004;15(2):76–84. - PubMed
    1. Neumann PB, Grimmer KA, Deenadayalan Y. Pelvic floor training and adjunctive therapies for the treatment of stress urinary incontinence in women: systematic review. BMC Women's Health. 2006;6:11–11. - PMC - PubMed

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