1/6. Intravesical foreign body and vesicovaginal fistula: a rare complication of a neglected pessary.A silicone Gellhorn pessary, 3 inches in diameter, neglected for several years in an elderly woman, eroded through the anterior vaginal wall, ultimately to lie entirely within the bladder. General anesthesia and bilateral deep full-length Schuchardt's incisions were required to remove it. A Latzko procedure was done at a later date to close the large vesicovaginal fistula; similar Schuhardt's incisions were again used.- - - - - - - - - - ranking = 1keywords = vesicovaginal fistula, vesicovaginal, fistula (Clic here for more details about this article) |
2/6. Complete vaginal prolapse: an unusual presentation of anovestibular fistula.An adolescent girl with an anovestibular fistula presenting as a complete vaginal prolapse and large-bowel obstruction is reported. The prolapse was reduced manually after repeated bowel washouts and a divided high sigmoid colostomy. The patient is awaiting posterior sagittal anorectoplasty. Possible etiopathologic factors of the prolapse are discussed. A vaginal prolapse in a patient with an anorectal malformation has not been reported previously in the English literature.- - - - - - - - - - ranking = 0.00020216891842147keywords = fistula (Clic here for more details about this article) |
3/6. Entero mesh vaginal fistula secondary to abdominal sacral colpopexy.BACKGROUND: Abdominal sacral colpopexy is a popular method for resupporting the vaginal apex. Bleeding and infection are the most common complications. We report a complication resulting in a small bowel fistula. CASE: A 48-year-old woman developed a chronic vaginal discharge 4-6 months after routine abdominal sacral colpopexy in which a velour mesh remained exposed in the pelvis. Conservative measures failed to control the intermittent copious discharge from the upper vaginal vault where the mesh was visualized. At laparotomy, an entero mesh vaginal fistula was discovered. Excellent long-term results were obtained by removal of the mesh along with resection of the involved small intestine. CONCLUSION: At the time of abdominal sacral colpopexy, we recommend that mesh not remain exposed in the pelvis.- - - - - - - - - - ranking = 0.00024260270210577keywords = fistula (Clic here for more details about this article) |
4/6. Forgotten vaginal pessary eroding into rectum.Vaginal pessaries still have a role in the management of uterine prolapse, particularly in elderly patients. However, they are known to cause serious complications if proper care is not taken. We present a case of a rectovaginal fistula, developing secondary to a forgotten vaginal pessary. The shelf pessary was found to have eroded through into the rectum. A review of the relevant literature was undertaken and complications associated with vaginal pessaries are discussed.- - - - - - - - - - ranking = 4.0433783684295E-5keywords = fistula (Clic here for more details about this article) |
5/6. vesicovaginal fistula and mesh erosion after Perigee (transobturator polypropylene mesh anterior repair).The transobturator polypropylene mesh system is a new approach in the surgical treatment of anterior vaginal wall prolapse. We report the case of a 57-year-old woman who developed a vesicovaginal fistula with erosion of the mesh into the bladder and vagina after Perigee transobturator, polypropylene mesh anterior repair. This is a serious complication associated with this technique. Treatment required an open vesicovaginal fistula repair with excision of the exposed and nearby surrounding mesh.- - - - - - - - - - ranking = 0.40016173513474keywords = vesicovaginal fistula, vesicovaginal, fistula (Clic here for more details about this article) |
6/6. Repair of vaginal prolapse and perineal hernia after pelvic exenteration.Perineal hernias have been a significant complication of pelvic exenteration since the inception of this procedure. A variety of natural and artificial materials have been used to support the small bowel to prevent its descent into the lower pelvis with subsequent hernia and fistula formation. More recently, neovagina construction using gracilis myocutaneous flaps has provided both sexual function and support for the small bowel. A patient is presented who had prolapse of her neovagina and a perineal hernia 12 months after exenterative surgery. A technique to repair this complication is described, and a possible method of preventing it is discussed.- - - - - - - - - - ranking = 4.0433783684295E-5keywords = fistula (Clic here for more details about this article) |