{"title":"Laparoscopic supracervical hysterectomy complicated by delayed vesicocervical fistula","authors":"James F. Daniell, Ted L. Anderson, Roseann Maikis","doi":"10.1046/j.1365-2508.2001.00436.x","DOIUrl":null,"url":null,"abstract":"<p>Laparoscopically performed supracervical hysterectomy is becoming more widely accepted around the world. The objective of this case report is to describe a rare urinary tract complication associated with this operation.</p><p>Case report.</p><p>Referral practice for endoscopic surgery.</p><p>A 35-year-old nulliparous woman with recurrent endometriosis and chronic pelvic pain.</p><p>A laparoscopic supracervical hysterectomy with bilateral salpingo-oöphorectomy.</p><p>The patient developed a vesico-cervical fistula 3 weeks postoperatively. After urological consultation, this was treated successfully via minilaparotomy, transvesical excision, and repair of the fistula within 36 h of diagnosis.</p><p>Urinary tract fistulas can occur following laparoscopic supracervical hysterectomy. If they are diagnosed immediately and properly managed, standard repair can be successful and morbidity can be minimized.</p>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 4","pages":"269-271"},"PeriodicalIF":0.0000,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00436.x","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gynaecological Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1046/j.1365-2508.2001.00436.x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
Abstract
Laparoscopically performed supracervical hysterectomy is becoming more widely accepted around the world. The objective of this case report is to describe a rare urinary tract complication associated with this operation.
Case report.
Referral practice for endoscopic surgery.
A 35-year-old nulliparous woman with recurrent endometriosis and chronic pelvic pain.
A laparoscopic supracervical hysterectomy with bilateral salpingo-oöphorectomy.
The patient developed a vesico-cervical fistula 3 weeks postoperatively. After urological consultation, this was treated successfully via minilaparotomy, transvesical excision, and repair of the fistula within 36 h of diagnosis.
Urinary tract fistulas can occur following laparoscopic supracervical hysterectomy. If they are diagnosed immediately and properly managed, standard repair can be successful and morbidity can be minimized.
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