Open AccessVesico-vaginal fistula post Right radical nephroureterectomy with bladder cuff excision
Author(s) -
Rekha Poudel,
Ganesh Dangal,
Aruna Karki,
Hema Kumari Pradhan,
Ranjana Shrestha,
Kabin Bhattachan,
Nishma Bajracharya,
Kenusha Devi Tiwari
Publication year - 2018
Publication title -
nepal journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
eISSN - 1999-9623
pISSN - 1999-8546
DOI - 10.3126/njog.v13i2.21893
Subject(s) - medicine , foley catheter , urinary leakage , cuff , surgery , cystoscopy , fistula , urinary system , ureter , urology , urinary bladder , catheter , urinary incontinence , anatomy
Case: 61 years, female presented at KMH OPD with involuntary urinary leakage per vaginum for seven months following Right radical nephreureterectomy with bladder cuff excision for urinary bladder carcinoma at other centre. Dye test was positive. Cystoscopy revealed VVF defect around 2 cm (Goh’s stage 3biii) at right posterior wall of urinary bladder. Ureteric catheter was placed in left ureter and VVF repair was done. Dye test following 14 days of Foley’s catheterization was negative and patient went home dry. We present here a case of successful repair of VVF following Right radical nephreureterectomy with bladder cuff excision.
Key words: dye test, Goh’s stage, pelvic surgeries, urinary tract injuries, vesico-vaginal fistula