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Peer-reviewed veterinary case report

A Case of Vesicovaginal Fistula After Transvaginal Mesh Surgery Cured by Placement of a Urethral Catheter With Low-Pressure Intermittent Suction.

Year:
2025
Authors:
Madoka M et al.
Affiliation:
Department of Urology Kyoto Prefectural University of Medicine Kyoto Japan. · Japan

Abstract

<h4>Introduction</h4>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.<h4>Case presentation</h4>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.<h4>Conclusion</h4>Urethral catheter with low-pressure intermittent suction may be an option when catheterization alone does not provide adequate drainage of VVF.

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Original publication: https://europepmc.org/article/MED/41185733