Open AccessA rare case of irreparable vesico-vaginal fistula of 45 years duration successfully managed by urinary diversion
Author(s) -
Sulabha Joshi,
Anuja Bhalerao,
Savita Somalwar,
Swanand Chaudhary
Publication year - 2011
Publication title -
journal of mid-life health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.423
H-Index - 11
eISSN - 0976-7819
pISSN - 0976-7800
DOI - 10.4103/0976-7800.83272
Subject(s) - medicine , fistula , urinary diversion , surgery , complication , urinary system , urinary incontinence , general surgery , bladder cancer , cancer , cystectomy
In developing countries most of the fistulas occur as a catastrophic complication of obstructed labor in young women. Constant dribbling, wetness, and stink lead to social outcasting of patients of vesico-vaginal fistula (VVF) making their life miserable. In most of the cases, timely surgery taking all required precautions is successful. In small number of cases, fistula is irreparable. Under such circumstances urinary diversion helps. Very few cases are reported in literature, where patients have endured fistula for more than 40 years. A case report of a patient of VVF, who suffered for 45 years without seeking any treatment because of prevailing circumstances is presented here. The fistula was irreparable. Urinary diversion was the only option available. She was successfully managed by urinary diversion with an ileal conduit. Now patient is leading a contented life.