Vesicocervical fistula in a 38-year-old woman: a clinical case

Background. Genital fistulas are one of the most severe diseases in women, leading to multiple organ dysfunction and long-term and permanent disability, which is associated with severe moral and physical suffering and social activity restrictions. Genital fistulas are mainly a result of gynecological and obstetric interventions, but can also be a complication of pyoinflammatory diseases of the uterine appendages or one of the outcomes of postoperative complications. The true frequency of genital fistula is unknown. The detection rate of gynecological fistulas is associated with surgical activity, with expansion of indications for surgical treatment in cancer patients, with late diagnosis of urinary tract injuries, and with not always adequate help at the same time. Case report. The paper describes a clinical case of a female patient with vesicocervical fistula formed after surgical delivery. It also depicts the patient’s clinical-anamnestic and laboratory instrumental features and demonstrates the technical difficulties of a surgical intervention and postoperative management. Conclusion. Fistula excision is a technically difficult operation that must be performed by a surgeon who has extensive surgical experience and a high qualification. Correctly performed obstetric and gynecological operations will be able to reduce the frequency of fistula formation and to minimize postoperative complications.

vesicocervical fistula, urinary leak, cystography, cystoscopy, cystostomy, painful urination, vaginal pain, open laparoscopy, fistula excision and suturing