IJU case reports · 2025
A Case of Vesicovaginal Fistula After Transvaginal Mesh Surgery Cured by Placement of a Urethral Catheter With Low-Pressure Intermittent Suction.
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Madoka Miyamoto, Atsuko Fujihara, Yumiko Saito, Marina Kawahara, Osamu Ukimura
Аннотация
INTRODUCTION: We report a case of vesicovaginal fistula (VVF) following transvaginal mesh (TVM) surgery that was successfully treated conservatively using a urethral catheter with low-pressure intermittent suction.
CASE PRESENTATION: A 78-year-old woman underwent TVM surgery for cystocele. During the surgery, bladder perforation occurred, which was repaired transvaginally. After the urethral catheter removal, she was diagnosed with VVF. We reinserted a new urethral catheter and added low-pressure intermittent suction to the catheter, which gradually decreased the amount of incontinence, and the patient was successfully cured.
CONCLUSION: Urethral catheter with low-pressure intermittent suction may be an option when catheterization alone does not provide adequate drainage of VVF.
CASE PRESENTATION: A 78-year-old woman underwent TVM surgery for cystocele. During the surgery, bladder perforation occurred, which was repaired transvaginally. After the urethral catheter removal, she was diagnosed with VVF. We reinserted a new urethral catheter and added low-pressure intermittent suction to the catheter, which gradually decreased the amount of incontinence, and the patient was successfully cured.
CONCLUSION: Urethral catheter with low-pressure intermittent suction may be an option when catheterization alone does not provide adequate drainage of VVF.