Vesicovaginal fistula following hysterectomy

Article

A 45-year-old Illinois woman underwent a total abdominal hysterectomy in 2005. Toward the end of the procedure the nurse anesthetist reported blood in the catheter tubing and bag, which the gynecologist attributed to a traumatic catheterization at the start of the procedure. The patient continued to have blood in her urine and urinary leakage. Two days later a 4- to 5-cm laceration at the base of the bladder was found. While several attempts were made to surgically repair the laceration, she developed a vesicovaginal fistula that continued for about 8 months. The laceration/fistula was eventually successfully repaired and the patient has been leak-free since then.

A 45-year-old Illinois woman underwent a total abdominal hysterectomy in 2005. Toward the end of the procedure the nurse anesthetist reported blood in the catheter tubing and bag, which the gynecologist attributed to a traumatic catheterization at the start of the procedure. The patient continued to have blood in her urine and urinary leakage. Two days later a 4- to 5-cm laceration at the base of the bladder was found. While several attempts were made to surgically repair the laceration, she developed a vesicovaginal fistula that continued for about 8 months. The laceration/fistula was eventually successfully repaired and the patient has been leak-free since then.

The woman sued the operating surgeon and claimed that her failure to detect and respond in a timely manner to the laceration led to the development of the fistula.

The physician contended that the laceration was not detected because of its location and that the proper treatment for a laceration discovered after closing was to drain the bladder with a catheter and allow the laceration to heal on its own in a couple of weeks. The verdict was for the patient and $300,000 was awarded.

—Department Editor Dawn Collins, JDMs. Collins is an attorney specializing in medical malpractice in Long Beach, CA.
She welcomes feedback on this column via email to DawnCF@aol.com.

Related Videos
Why doxycycline PEP lacks clinical data for STI prevention in women
The importance of nipocalimab’s FTD against FNAIT | Image Credit:  linkedin.com
Enhancing cervical cancer management with dual stain | Image Credit: linkedin.com
Fertility treatment challenges for Muslim women during fasting holidays | Image Credit: rmanetwork.com
Understanding the impact of STIs on young adults | Image Credit: providers.ucsd.edu.
CDC estimates of maternal mortality found overestimated | Image Credit: rwjms.rutgers.edu.
Study unveils maternal mortality tracking trends | Image Credit: obhg.com
How Harmonia Healthcare is revolutionizing hyperemesis gravidarum care | Image Credit: hyperemesis.org
Unveiling gender disparities in medicine | Image Credit:  findcare.ahn.org.
Exploring the intersection of heart health and women's health | Image Credit: cedars-sinai.org
© 2024 MJH Life Sciences

All rights reserved.