Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Uterine Procidentia: A Case Report

Abstract

V esicovaginal fistulas (VVFs) are uncommon with an incidence in developed countries of 0.3% to 2.0%. Complete bladder eversion through a VVF is even more rare. Given this, treatment options vary based on the patient's characteristics and treating health care provider's preferences. The first surgical attempt at repair has the highest probability of success and, thus, attention to good surgical technique is paramount. We present a patient who presented with complete bladder eversion through a VVF and resultant renal failure and anemia. We describe a multistep approach in regards to repair of the bladder eversion andVVF, aswell as definitive surgical management of her procidentia, resulting in improved renal function and no requirement for urinary diversion.