title: Vesicovaginal fistula: An unusual complication of laparoscopic assisted nephroureterectomy.
abstract: We report a case of vesicovaginal fistula in 71-year-old lady who had previously undergone a lapascopic assisted nephroureterectomy for transitional cell carcinoma in her right ureter and kidney. The surgery was uncomplicated with no post-operative problems and was discharged on day on seven. She later presented five weeks following the initial operation with signs and symptoms suggestive of a vesicovaginal fistula, which was confirmed on cystogram and flexible cystosopy. She proceeded to have an abdominal (O'Connor's) repair of the fistula together with cystodiathermy for a few superficial bladder recurrences. The area of the fistula (within the bladder) was noted to be tumour free. She had an uneventful post-operative recovery and was discharged from hospital on day 11. At six month follow-up, there was another superficial recurrence in the bladder that was resected, with no sign of fistula.
authors.affiliation: Departments of Urology, Addenbrookes' Hospital, Cambridge, UK.
authors.forename: Rajiv G
authors.initials: RG
authors.lastname: Pillai
authors.forename: Ameet S
authors.initials: AS
authors.lastname: Patel
authors.forename: Anant
authors.initials: A
authors.lastname: Kumar