# Colovaginal Fistula: An Uncommon Complication After Vaginal Hysterectomy and Pelvic Floor Repair With Mesh Surgery

## TL;DR

This paper reports a rare case of a colovaginal fistula after vaginal hysterectomy and pelvic floor repair using mesh, successfully treated with multidisciplinary care.

## Contribution

The novelty lies in presenting a rare case of colovaginal fistula unrelated to diverticulitis following mesh-augmented pelvic floor repair.

## Key findings

- A colovaginal fistula occurred after vaginal hysterectomy and mesh-based pelvic floor repair.
- The fistula was successfully managed through staged surgery by a multidisciplinary team.
- The case was unrelated to diverticulitis, a common cause of such fistulas.

## Abstract

A colovaginal fistula (CVF) is an abnormal epithelialized connection between the colon and the vagina. It is a rare complication following gynaecology surgery and can significantly affect patients’ quality of life. CVFs are commonly associated with diverticular disease and are usually seen in patients with a previous hysterectomy. We report an uncommon case of postsurgical CVF following vaginal hysterectomy with mesh-augmented pelvic floor repair, which was unrelated to diverticulitis. The patient was successfully managed by a multidisciplinary team with staged surgery.