Author(s)

Sunday Jenner Lengmang^1,3, Edwin Oseni-Momodu², Paul Ushie^2,3, George Anyuku Azubuike Chima³

¹Evangel Vesico Vaginal Fistula Centre, Bingham University Teaching Hospital, Jos, Nigeria.
²Surgery Department, Bingham University, Jos Campus, Jos, Nigeria.
³Family Medicine Department, Bingham University, Jos campus, Jos, Nigeria.

Combined vesico-vaginal and vesico-cutaneous fistulae are exceptionally rare. We present a young woman who had combined vesico-vaginal fistula and vesico-cutaneous fistula following prolonged obstructed labour and caesarean section. The patient presented at three months of illness with total urine incontinence from the vagina and lower abdominal skin. One-stage surgical repair of both fistulae was done. The patient had a successful closure of the fistulae, regained full urinary continence, and remained continent at six months follow-up. We opine that one-stage repair of combined vesico-vaginal and vesico-cutaneous fistulae is feasible and preferred. Providers of pelvic surgery in low resource countries should be supervised and retrained accordingly, in order to prevent iatrogenic vesico-cutaneous fistula.

Vesico-Vaginal, Vesico-Cutaneous, Fistula, Iatrogenic

Lengmang, S. , Oseni-Momodu, E. , Ushie, P. and Chima, G. (2017) A Rare Case of Combined Vesico-Vaginal and Vesico-Cutaneous Fistulae Treated by One-Stage Surgical Repair. Open Journal of Obstetrics and Gynecology, 7, 702-706. doi: 10.4236/ojog.2017.77070.