Fistula injury to the bladder at repeat cone biopsy by laser.
A 33-year-old woman underwent repeat cone biopsy of the cervix with a carbon dioxide (CO2) laser. At operation the laser caused multiple full thickness fenestrations of the bladder, creating multiple small vesico-vaginal fistulae. The cone biopsy was completed and the fistulae were converted into a single defect which was immediately repaired. The patient went home 'dry'. We believe this is the first such report in the English-language literature.
Nwabineli
N J
NJ
Stobhill General Hospital, Glasgow, U.K.
Davis
J A
JA
D000328:Adult; D001706:Biopsy / Q000009:adverse effects*; D002245:Carbon Dioxide; D002584:Cervix Uteri / Q000473:pathology*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D001743:Urinary Bladder / Q000293:injuries*; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000601:surgery
D002245:Carbon Dioxide