[Spontaneous vesicoacetabular cutaneous fistula after total hip replacement].

Vesicoacetabular cutaneous fistula is a rare but severe complication after total hip replacement. Diagnosis is based on clinical symptoms as well as radiologic and endoscopic findings. Therapy, however, requires an interdisciplinary approach. Anuria was the leading symptom in this case. After verifying the diagnosis, the prosthesis was completely removed, the fistula was excised, and the bladder was closed in multiple layers using an omentum majus flap. The patient was mobilized early and is content to date with the situation.