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Iatrogenic bladder stone and associated vesicovaginal fistula after hysterectomy
Authors:Wei-Hsin Chien  Ching-Chung Liang
Institution:(1) Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Shin Street, Kwei-Shan, Taoyuan, Taiwan
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.
Keywords:Vesicovaginal fistula  Bladder stone  Suture material  Vaginal ultrasound
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