Korean J Urol.  2006 Sep;47(9):1025-1027. 10.4111/kju.2006.47.9.1025.

Tuberculous Vesicovaginal Fistula

• Lee YG
• Choi JD
• Kim DY

• KMID: 2294105
• DOI: http://doi.org/10.4111/kju.2006.47.9.1025

Abstract

The main cause of vesicovaginal fistula is gynecologic or obstetric manipulation, but vesicovaginal fistula as a complication of genitourinary tuberculosis is extremely rare. The diagnosis is confirmed by the histological findings, and treatment is surgical repair with antituberculous medication. We report here on the presentation and management of extensive tuberculosis that led to formation of a vesicovaginal fistula in an adult.

Keyword

Vesicovaginal fistula; Tuberculosis

MeSH Terms

Adult
Diagnosis
Humans
Tuberculosis
Vesicovaginal Fistula*

Figure

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  Fig. 1 (A) Excretory urogram reveals a left nonvisualized kidney, right hydronephrosis, hydroureter and a small capacity bladder. (B) Cystogram shows free flow of the contrast material into the vagina and vesicoureteral reflux on the right side.

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  Fig. 2 (A) Cystoscopic view showing a small opening on the medial side of the left ureteric orifice and edematous bladder mucosa. (B) The microscopic findings show that the granulomas are composed of central caseous necrosis surrounded by epithelioid cells and multinucleated giant cells (H&E, ×400).

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  Fig. 3 The postoperative 5 month excretory urogram (A) and voiding cystourethrogram (B) showing right hydronephrosis and vesicoureteral reflux (GII).

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