Vesico-vaginal and urethro-vaginal fistulae in the developed world

Kiosoglous, Anthony J.; Greenwell, Tamsin

doi:10.1177/2051415815570781

Cited by 2 publications

(6 citation statements)

References 78 publications

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“…Our patients had history of FGM with is consistent with what was reported by Kiosoglous, et al [2], Webster, et al [3], Meeks, et al [4], and Coulibaly et al [11]. They reported that urethrovaginal fistula in girls can be congenital or post traumatic.…”

Section: Discussionsupporting

confidence: 91%

“…The index patient presented with inability to pass urine through the urethra which is contrary to the findings in literature that Urethrovaginal fistula present with involuntary loss of urine [1,2,4].…”

Section: Discussioncontrasting

confidence: 63%

“…Urethrovaginal fistula is an abnormal tract lined by epithelium connecting urethra and vagina. In children it can be congenital or post traumatic [1,2]. Female genital mutilation is an important aetiology in Sub-Saharan Africa [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…It associated with short term and long terms complications which include bleeding, pain, infections, urinary, gynecological and obstetric complications [4,5,7]. Urogynaecological complications include that of urethrovaginal and vesicovaginal fistulae [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

“…In girls it can be congenital or post traumatic [1]. In adult it may be sequelae of prolonged obstructed labour in developing countries [2], while in developed countries it is iatrogenic from transvaginal surgeries [3,4]. Female Circumcision (FC)or Female Genital Mutilation (FGM) is a common cause of UVF in developing countries [5].…”

Section: Introductionmentioning

confidence: 99%

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Traumatic Urethrovaginal Fistula from Female Genital Mutilation Presenting as Bladder Outlet Obstruction: A Rare Case Report

Muhammad¹

2021

AUN

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BackgroundUrethrovaginal fistula is an abnormal communication between urethra and vagina by an epithelialized tract. In girls the cause can be congenital or post traumatic. Female genital mutilation may be associated with urethrovaginal fistula and the predominant presentation is that of continuous urinary incontinence. Presentation with bladder outlet obstruction and inability to pass urine is rare. We report a 12-year old girl with traumatic urethro-vaginal fistula post female genital mutilation who presented with inability to pass urine and bladder outlet obstruction. Case reportThis is a 12-year old girl who presented with urethral bleeding and inability to pass urine following female genital mutilation. She had suprapubic cystostomy due to failed urethral catheterization. Micturating cystourethrogram revealed huge bladder with tight bladder neck. The haemogram, urine microscopy, electrolyte urea and creatinine were within normal limits. She had examination under anaesthesia which revealed urethrovaginal fistula and obliteration of the bladder neck. She had multilayer repair of the fistula via abdominoperineal approach. Urethral catheter was removed after 6 weeks. She developed nocturnal enuresis post operatively which was managed with tolterodine. ConclusionUrethrovaginal fistula from female genital mutilation may present with bladder outlet obstruction. Micturating cystogram may not be diagnostic. Examination under anaesthesia may be necessary for proper diagnosis. Abdominoperineal multilayer repair is associated with good outcome.

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