Repair of a vesicocutaneous fistula using negative-pressure wound therapy and urinary diversion via a nephrostomy tube.
BACKGROUND
This article describes an unusual case of a vesicocutaneous fistula in a patient with a history of radiation therapy and recent abdominal surgery.


METHODS
A 61-year-old woman was transferred to our acute care facility from a rehabilitation facility, with poor nutritional intake and a concern for urine draining from her wound. A nephrostomy tube was placed (she had only 1 functioning kidney) and negative-pressure wound therapy was used to close the fistula.


CONCLUSIONS
Urinary diversion via a nephrostomy tube and negative-pressure wound therapy were used to successfully and safely close this vesicocutaneous fistula.
Julie J. Freeman, RN, MSN, ACNS-BC, CWOCN, Department of Nursing, Womack Army Medical Center, Fort Bragg, North Carolina. Dominic L. P. Storto, DO, Department of Surgery, Womack Army Medical Center, Fort Bragg, North Carolina. Cristóbal S. Berry-Cabán, PhD, Department of Research, Womack Army Medical Center, Fort Bragg, North Carolina.
Julie J
JJ
Freeman
Dominic L P
DL
Storto
Cristóbal S
CS
Berry-Cabán
D017577:Cutaneous Fistula / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D011832:Radiation Injuries / Q000150:complications; D001747:Urinary Bladder Fistula / Q000628:therapy*; D014547:Urinary Diversion / Q000379:methods*