Laparoscopic supracervical hysterectomy complicated by delayed vesicocervical fistula
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Abstract
Laparoscopically performed supracervical hysterectomy is becoming more widely accepted around the world. The objective of this case report is to describe a rare urinary tract complication associated with this operation. Case report. Referral practice for endoscopic surgery. A 35‐year‐old nulliparous woman with recurrent endometriosis and chronic pelvic pain. A laparoscopic supracervical hysterectomy with bilateral salpingo‐oöphorectomy. The patient developed a vesico‐cervical fistula 3 weeks postoperatively. After urological consultation, this was treated successfully via minilaparotomy, transvesical excision, and repair of the fistula within 36 h of diagnosis. Urinary tract fistulas can occur following laparoscopic supracervical hysterectomy. If they are diagnosed immediately and properly managed, standard repair can be successful and morbidity can be minimized.
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