Iatrogenic bladder stone and associated vesicovaginal fistula after hysterectomy |
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Authors: | Wei-Hsin Chien Ching-Chung Liang |
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Institution: | (1) Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Shin Street, Kwei-Shan, Taoyuan, Taiwan |
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Abstract: | A patient had irritative lower urinary tract symptoms for 2 years after hysterectomy. During cystoscopy, a bladder stone was seen and removed, but watery vaginal discharge emerged. The subsequent transvaginal ultrasound revealed a fistulous tract between the bladder and the vagina. The methylene blue test further confirmed the diagnosis of vesicovaginal fistula. We performed a delayed Latzko procedure to successfully repair the fistula. |
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Keywords: | Vesicovaginal fistula Bladder stone Suture material Vaginal ultrasound |
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