fixation to Cooper's ligament for correction of stress incontinence, cystocele, and prolapse.
There, she underwent a diverticulectomy, which was complicated the following year by urethrovaginal
(UV) fistula and subsequently repaired via a vaginal approach.
The opening of the urethra in the vagina corresponds to a defect of the urethrovaginal
septum which may be total, allowing a direct communication of the bladder with the vagina, or more frequently partial .
and vesicovaginal fistulas can also be seen rarely with BD (10).
(8) Transvaginal mesh slings should not be used in women with urethral diverticulum, urethrovaginal
fistula, urethral injury, or prior transvaginal mesh complication (such as pain or mesh erosion).
This condition is very rare and accounts for 1% to 4% of all urogenital fistulas, including vesicovaginal fistula, ureterovaginal fistula, and urethrovaginal
Vesicovaginal fistula was seen in 69.9%, 25.7% were ureterovaginal fistula, 2.7% vesicouterine fistula and 0.88% each urethrovaginal
fistula and combined fistula.
The cumulative incidence of the composite outcome of removal/ revision of vaginal or urethral mesh, removal of a foreign body, endoscopic treatment of a urethral foreign body or mesh encrustation, uretrolysis, or repair of a urethrovaginal
fistula was 3.29 at 10 years, Dr.
Primary vaginal calculi occur from vaginal pooling of urine due to a urethrovaginal
fistula, or in bedridden women due to neurogenic voiding dysfunction and other reasons (2-4).
Vesicovaginal and urethrovaginal
fistulas: a summery of 25 years of experience.
Beside successful results, major complications like mesh erosion, urethrovaginal
fistula, infection, rejection, and dyspareunia are also reported.
A urinary bladder mass arising from vesicoprostatic or urethrovaginal
plexus may also be seen.