Journal List > Korean J Obstet Gynecol > v.54(7) > 1088305

TOOLS
Cho, Kang, Kim, and Choi: A case of vesicovaginal fistula after loop electrosurgical excisional procedure
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2011; 54(7): 390-394.

Published online: 18 July 2011

DOI: https://doi.org/10.5468/KJOG.2011.54.7.390

A case of vesicovaginal fistula after loop electrosurgical excisional procedure

Sang Son Cho, MD, Woo Dae Kang, MD, Seok Mo Kim, MD, Ho Sun Choi, MD

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author: Ho Sun Choi, MD, PhD. Department of Obstetrics and Gynecology, Chonnam National University Medical School, 8 Hak-dong, Dong-gu, Gwangju 501-746, Korea. Tel: +82-62-220-6372, Fax: +82-62-227-1637, hschoi@jnu.ac.kr

Received 11 April 2011       Accepted 17 May 2011

Copyright © 2011. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Loop electrosurgical excisional procedure (LEEP) is a well known and effective method for the treatment of precancerous lesion of cervix. It has the advantage of being simultaneously diagnostic and therapeutic. Complications of the LEEP are usually few and mild, mainly bleeding, discomfort and infection. The vesicovaginal fistula, which occurres as a consequence of LEEP is very rare condition that has not been reported in Korea. We present a case of vesicovaginal fistula that resulted from LEEP with a brief review of the literature.

Keywords: Loop electrosurgical excision procedure, Complications, Vesicovaginal fistula

Figures and Tables

Fig. 1
The Schema of location of the vesicovaginal fistula: The opening of fistula was on the base of the bladder (arrow). U, uterus; B, bladder.
kjog-54-390-g001
Fig. 2
(A) The opening of a fistula on the bladder base. (B) The orifice of the fistula on the anterior of the cervix: the opening of fistula was measuring about 7-8 mm in diameter.
kjog-54-390-g002

References

1. Cervical cancer [Internet]. National cancer information center. c2011. cited 2011 Mar 20. Koyang (KR): National cancer information center;Available from: http://www.cancer.go.kr/cms/cancer/cancer_is/01/1190416_1221.html.
2. Kietpeerakool C, Srisomboon J, Khobjai A, Chandacham A, Tucksinsook U. Complications of loop electrosurgical excision procedure for cervical neoplasia: a prospective study. J Med Assoc Thai. 2006. 89:583–587.
3. LEEP [Internet]. Louisiana State University Medical Center. c2011. cited 2011 Mar 20. Shreveport (LA): Louisiana State University Medical Center;Available from: http://lib-sh.lsuhsc.edu/fammed/atlases/leep.
4. Dunn TS, Killoran K, Wolf D. Complications of outpatient LLETZ procedures. J Reprod Med. 2004. 49:76–78.
5. Ong S, Lees DA. A study of treatment failures following large loop excision of the transformation zone for the treatment of cervical intraepithelial neoplasia. Br J Obstet Gynaecol. 1997. 104:1325–1326.
6. Mitchell MF, Tortolero-Luna G, Cook E, Whittaker L, Rhodes-Morris H, Silva E. A randomized clinical trial of cryotherapy, laser vaporization, and loop electrosurgical excision for treatment of squamous intraepithelial lesions of the cervix. Obstet Gynecol. 1998. 92:737–744.
7. Nwabineli NJ, Davis JA. Fistula injury to the bladder at repeat cone biopsy by laser. Eur J Obstet Gynecol Reprod Biol. 1992. 43:245–246.
8. Krissi H, Levy T, Ben-Rafael Z, Levavi H. Fistula formation after large loop excision of the transformation zone in patients with cervical intraepithelial neoplasia. Acta Obstet Gynecol Scand. 2001. 80:1137–1138.
9. Prendiville W, Cullimore J, Norman S. Large loop excision of the transformation zone (LLETZ). A new method of management for women with cervical intraepithelial neoplasia. Br J Obstet Gynaecol. 1989. 96:1054–1060.
10. Nagar HA, Dobbs SP, McClelland HR, Price JH, McClean G, McCluggage WG. The large loop excision of the transformation zone cut or blend thermal artefact study: a randomized controlled trial. Int J Gynecol Cancer. 2004. 14:1108–1111.
11. Garthwaite M, Harris N. Vesicovaginal fistulae. Indian J Urol. 2010. 26:253–256.
12. Tancer ML. Observations on prevention and management of vesicovaginal fistula after total hysterectomy. Surg Gynecol Obstet. 1992. 175:501–506.
13. Goodwin WE, Scardino PT. Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol. 1980. 123:370–374.
14. Davits RJ, Miranda SI. Conservative treatment of vesicovaginal fistulas by bladder drainage alone. Br J Urol. 1991. 68:155–156.
15. Pettersson S, Hedelin H, Jansson I, Teger-Nilsson AC. Fibrin occlusion of a vesicovaginal fistula. Lancet. 1979. 1:933.
TOOLS
Similar articles