Tuberculous Vesicovaginal Fistula in a Child

Singh, Ankita; Fazal, AR; Sinha, S. K.; Ambasta, Suruchi; Kulshreshta, A.

doi:10.1111/j.1464-410x.1988.tb04442.x

Cited by 10 publications

(4 citation statements)

References 2 publications

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“…Tubercular auto-cystectomy is also described in the literature; however, this entity is extremely rare [3]. Spontaneous vesico-vaginal fistula of tuberculous origin has been described [4,5]. Our patient had simultaneous tubercular auto-cystectomy and auto-nephrectomy with a spontaneous vesico-vaginal fistula.…”

Section: Discussionmentioning

confidence: 95%

Extensive genitourinary tuberculosis presenting as spontaneous vesico-vaginal fistula

Shah

Nabbar

2004

Gynecol Surg

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Section: Discussionmentioning

confidence: 95%

Extensive genitourinary tuberculosis presenting as spontaneous vesico-vaginal fistula

Shah

Nabbar

2004

Gynecol Surg

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“…[23] In vesicovaginal fistulae, which occur in an irradiated field, bladder capacity and its compliance, should be assessed preoperatively to determine the need for bladder augmentation. Vaginal stenosis is occasionally seen as a complication of surgery for vesicovaginal fistula.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bladder and vaginal reconstruction using ileum in complicated vesicovaginal fistula

Patwardhan¹,

Sawant²,

Ismail³

et al. 2008

Indian J Urol

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Objectives:To discuss the outcome of surgical repair in complicated vesicovaginal fistula with simultaneous bladder and vaginal reconstruction using ileum.Materials and Methods:Four female patients in the age group of 12-30 years are included. All the patients had complicated vesicovaginal fistula with vaginal stenosis secondary to obstetric hysterectomy (except one secondary to the genitourinary tuberculosis). Repair of vesicovaginal fistula with simultaneous bladder augmentation, ureteric reimplantation, and reconstruction of vagina using ileum was performed in all the cases.Results:All the patients had successful repair of fistula. Vaginal reconstruction using ileum, resulted in capacious vagina. Adult patients resumed to normal sexual life. Mucus discharge was the only complaint in postoperative period.Conclusions:Malnutrition, anemia, obstructed labor, Intra uterine fetal death (IUFD), postpartum hemorrhage following forceps delivery in a rural setting followed by an emergency obstetric hysterectomy after a delay of 6-8 h (due to transfer to a tertiary center) were the few contributing factors leading to the formation of vesicovaginal fistula (VVF). Preoperative assessment of bladder capacity and vaginal capacity in such cases is mandatory. The small bowel is a readily available vascular tissue for restoring bladder and vaginal capacity.

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“…Recently, alternative growth detection methods for liquid culture employing oxygen quenching and redox reagents have been described and commercialized, which show performance comparable to BACTEC. [23] The time needed for culture and drug sensitivity testing is about 2 to 3 weeks.…”

Section: Rapid Identification Of Mycobacteriummentioning

confidence: 99%

“…It is highly specific (up to 88%) and its sensitivity in detecting urine acid-fast bacilli (AFB) has been reported in up to 94% of the cases. [2223]…”

Section: Rapid Identification Of Mycobacteriummentioning

confidence: 99%

Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis

et al. 2008

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Objective:We herein describe the various modes of presentation in genitourinary tuberculosis (GUTB) and a simple diagnostic approach to it.Materials and Methods:We made a literature search through Medline database and various other peer-reviewed online journals to study the various modes of presentation in GUTB. We reviewed over 100 articles published in the last 10 years (1998 -- 2007), which were tracked through the key words like GUTB and extrapulmonary tuberculosis.Results:GUTB has varied presentation and the most common way of presentation is in the form of irritative voiding symptoms, which are found in more than 50% of the patients. The usual frequency of organ involvement is: kidney, bladder, fallopian tube, and scrotum. The usual tests used to diagnose GUTB are the demonstration of mycobacterium in urine or body fluid and radiographic examination. Intravenous urography (IVU) has been considered to be one of the most useful tests for the anatomical as well as the functional details of kidneys and ureters. In cases of renal failure, MRI can be used. Newer examinations such as radiometric liquid culture systems (i.e., BACTEC®, Becton Dickinson, USA) and polymerase chain reaction (PCR) give rapid results and are highly sensitive in the identification of mycobacterium.Conclusion:GUTB can involve any part of the genitourinary system and presentation may vary from vague urinary symptoms to chronic kidney disease. Newer tests like radiometric liquid culture systems and polymerase chain reaction give rapid results and carry high diagnostic value.

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Tuberculous Vesicovaginal Fistula in a Child

Cited by 10 publications

References 2 publications

Extensive genitourinary tuberculosis presenting as spontaneous vesico-vaginal fistula

Extensive genitourinary tuberculosis presenting as spontaneous vesico-vaginal fistula

Simultaneous bladder and vaginal reconstruction using ileum in complicated vesicovaginal fistula

Clinical presentation and diagnostic approach in cases of genitourinary tuberculosis

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