Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation.
School of Medicine, College of Medicine.
Medicine (Baltimore). 2021 Jun 18;100(24):e26386. doi: 10.1097/MD.0000000000026386.
Vesicovaginal fistula (VVF) most commonly occurs due to iatrogenic injury during surgery or obstructed labor. We report a rare case of a patient with severe pelvic organ prolapse who developed VVF even though pessary had not been used.
A 63-year-old postmenopausal woman, para 3 (all spontaneous vaginal deliveries), complained of vaginal bulging sensation and involuntary urinary leakage for 3 years.
Stage IV uterine prolapse with VVF.
She underwent transvaginal VVF repair combined with total vaginal hysterectomy and sacrospinous ligament fixation. The postoperative course was uncomplicated.
The patient remained free of complications during the 1-year follow-up.
This case illustrates the point that patients with pelvic organ prolapse (POP) should be treated promptly and careful follow-up should be conducted. Clinicians should be aware of the symptoms of VVF to ensure its early diagnosis and treatment.
膀胱阴道瘘（VVF）通常由手术过程中的医源性损伤或梗阻性分娩引起。我们报告了一例罕见的严重盆腔器官脱垂患者的病例，尽管未使用子宫托，但仍发生 VVF。
一位 63 岁绝经后妇女，孕 3 产 3（均为自然阴道分娩），主诉阴道膨出感和不自主漏尿 3 年。
IV 期子宫脱垂伴 VVF。
行经阴道 VVF 修补术联合全阴道子宫切除术和骶棘韧带固定术。术后过程顺利。
患者在 1 年随访期间无并发症。
本例说明盆腔器官脱垂（POP）患者应及时治疗，并进行仔细的随访。临床医生应了解 VVF 的症状，以确保其早期诊断和治疗。
