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CASE REPORT
Year : 2016  |  Volume : 7  |  Issue : 2  |  Page : 97-99

A transvaginal removal and repair of vesicovaginal fistula due to mesh erosion


Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India

Correspondence Address:
Vineet V Mishra
Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-7800.185332

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Vesicovaginal fistula (VVF) is a devastating social problem. It can either result from obstetric trauma or following gynecological surgeries, malignancy, or radiation. We present a case of a 70-year-old woman who had a VVF following mesh augmentation surgery for anterior compartment prolapse. She required a transvaginal removal of the eroded mesh followed by a transvaginal repair of VVF using a Martius flap, 6 weeks later. Transvaginal removal of mesh is technically feasible and a good approach. Timing and route of surgery should be individualized.


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