Number №3, 2020 - page 142-147

Vesicovulvar fistula after pelvic injury: a case report DOI: 10.29188/2222-8543-2020-12-3-142-147

For citation: Eliseev D.E., Shcherbinin S.N., Bekiev Ya.D., Maksudov R.R. Vesicovulvar fistula after pelvic injury: a case report. Experimental and clinical urology 2020;(3):142-147. https://doi.org/10.29188/2222-8543-2020-12-3-142-147
Eliseev D.E., Scherbinin S.N., Bekiev Ya.D., Maksudov R.R.
Information about authors:
  • Eliseev D.E. – physician of the Group of Companies «SM-Clinic»; physician of the gynecological department with oncological beds of «Clinical Hospital» of the presidential administration RF, Moscow; https://orcid.org/0000-0002-0270-7515
  • Shcherbinin S.N. – PhD, Head of the Department of Radiology and Angiography department of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical ResearchCentre of Radiology of the Ministry of Health of Russian Federation;
  • Bekiev Ya.D. – PhD, head of the urological department of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation
  • Maksudov R.R. – PhD, doctor of the 2nd Urological Department of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation
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Introduction. Genitourinary fistulas remain to be a serious problem of urogynecology with a great medical and social importance. Pelvic fractures are often combined with genitourinary system injuries. In the literature there are single cases describing the urethro-vaginal and vesico-vaginal fistulas formation after the pelvic fractures.

The clinical case. This article presents a clinical case of a vesico-vulvar fistula in a 34-year-old female patient, formed after a pelvic fracture.

Discussion. A fibrocystoscope use can improve the diagnosis of fistulas, that located on the anterior wall of the bladder. The use of CT fistulography allows to perform three-dimensional reconstruction of the pelvis and fistula tract, assessing its relation to the pelvic bones and detecting free-lying bone fragments.

Conclusions. Traumatologists and surgeons providing emergency care to patients with pelvic fractures should be aware of routine urological and gynecological examinations. Knowledge of the urinary leaks spread topography in case of extraperitoneal bladder ruptures combined with the use of radial and endoscopic research methods allows to determine the topography of the fistula tract and choose the correct treatment tactics.

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vesico-vulvar fistula; fracture of the pelvic bones; fistulography.

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