title: Development of VVF following double J stent placement.
abstract: Double J stent (DJ stent) is commonly used in various urological conditions. Theoretically stent-induced tissue erosion can be a possibility, but fistula formation is rarely reported. The present case was a case of genitourinary tuberculosis diagnosed 4 years ago and had received complete treatment. Two months ago she presented with recurrent urinary tract infection and diagnosed to have vesicoureteric reflux with secondary obstruction for which DJ stent was placed, after 15 days of which the patient reported leakage of urine per vagina. She was diagnosed to have vesicovaginal fistula (VVF) with in situ stent eroding through the bladder wall. Stent was removed and fistula was corrected surgically. This is the first reported case of stent-induced VVF, a rare complication of ureteral stent placement.
authors.affiliation: Department of Urology, Institute of Post Graduate Medical Education & Research, Kolkata, West Bengal, India.
authors.forename: Vinod
authors.initials: V
authors.lastname: Priyadarshi
authors.forename: RajKumar
authors.initials: R
authors.lastname: Sinhamahapatra
authors.forename: Anup Kumar
authors.initials: AK
authors.lastname: Kundu
authors.forename: DilipKumar
authors.initials: D
authors.lastname: Pal
mesh_terms: D000328:Adult; D003558:Cystoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011475:Prosthesis Failure; D012008:Recurrence; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome; D014401:Tuberculosis, Urogenital / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D014567:Urography / Q000379:methods; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*