Vesicovaginal fistula post-vaginal delivery late revelation: A case report

Abstract

Introduction: This study presents a compelling clinical case involving a 43-year-old woman who encountered a vesicovaginal fistula subsequent to vaginal delivery. The narrative encompasses the occurrence, diagnosis, and subsequent management of this rare postpartum complication. Case Report: A 43-year-old woman with an unscarred uterus experienced the conventional signs of postpartum recovery but developed hematuria and vaginal urinary leakage on the seventh postpartum day. Clinical assessment confirmed a vesicovaginal fistula due to partial uterine dehiscence. Diagnostic procedures and the subsequent successful surgical intervention are detailed, followed by the postoperative surveillance strategy and a one-month post-surgery evaluation. Conclusion: This case study demonstrates the successful management of a postpartum vesicovaginal fistula through surgical intervention, resulting in complete closure of the fistula and significant improvement in urinary symptoms. It highlights the importance of timely diagnosis and appropriate surgical intervention in managing such rare complications following vaginal delivery.