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Lee, Choi, and Kim: Tuberculous Vesicovaginal Fistula
Case Report
Korean Journal of Urology

Korean Journal of Urology 2006; 47(9): 1025-1027.

Published online: 30 September 2006

DOI: https://doi.org/10.4111/kju.2006.47.9.1025

Tuberculous Vesicovaginal Fistula

Young Guk Lee, Jae Duk Choi, Duk Yoon Kim

Department of Urology, College of Medicine, Catholic University of Daegu, Daegu, Korea.

Corresponding author (dykim@cu.ac.kr)

Received 10 April 2006       Accepted 23 May 2006

Copyright © 2006 The Korean Urological Association

Abstract

The main cause of vesicovaginal fistula is gynecologic or obstetric manipulation, but vesicovaginal fistula as a complication of genitourinary tuberculosis is extremely rare. The diagnosis is confirmed by the histological findings, and treatment is surgical repair with antituberculous medication. We report here on the presentation and management of extensive tuberculosis that led to formation of a vesicovaginal fistula in an adult.

Keywords: Vesicovaginal fistula, Tuberculosis

Figures and Tables

Fig. 1
(A) Excretory urogram reveals a left nonvisualized kidney, right hydronephrosis, hydroureter and a small capacity bladder. (B) Cystogram shows free flow of the contrast material into the vagina and vesicoureteral reflux on the right side.
kju-47-1025-g001
Fig. 2
(A) Cystoscopic view showing a small opening on the medial side of the left ureteric orifice and edematous bladder mucosa. (B) The microscopic findings show that the granulomas are composed of central caseous necrosis surrounded by epithelioid cells and multinucleated giant cells (H&E, ×400).
kju-47-1025-g002
Fig. 3
The postoperative 5 month excretory urogram (A) and voiding cystourethrogram (B) showing right hydronephrosis and vesicoureteral reflux (GII).
kju-47-1025-g003

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