Journal of Mid-life Health Journal of Mid-life Health
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Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 37-39

A rare case of irreparable vesico-vaginal fistula of 45 years duration successfully managed by urinary diversion

1 Department of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences, Nagpur, India
2 Department of Surgery, NKP Salve Institute of Medical Sciences, Nagpur, India

Correspondence Address:
Sulabha Joshi
Department of Obstetrics and Gynaecology, Sankalpa Saha Nivas, Khare Town, Dharampeth, Nagpur 10
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-7800.83272

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In developing countries most of the fistulas occur as a catastrophic complication of obstructed labor in young women. Constant dribbling, wetness, and stink lead to social outcasting of patients of vesico-vaginal fistula (VVF) making their life miserable. In most of the cases, timely surgery taking all required precautions is successful. In small number of cases, fistula is irreparable. Under such circumstances urinary diversion helps. Very few cases are reported in literature, where patients have endured fistula for more than 40 years. A case report of a patient of VVF, who suffered for 45 years without seeking any treatment because of prevailing circumstances is presented here. The fistula was irreparable. Urinary diversion was the only option available. She was successfully managed by urinary diversion with an ileal conduit. Now patient is leading a contented life.

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