A Vesicocutaneous Fistula Treated With Urinary Diversion, Negative Pressure Wound Therapy, and Time
Adham Al-Hajj, Wassim Hamze, Georgio El Koubayati, Fady Haddad, Antoine Noujeim
TL;DR
A 38-year-old patient with a bladder injury was successfully treated using non-surgical methods like urinary diversion and negative pressure therapy.
Contribution
The paper presents a successful non-surgical treatment approach for a complex bladder fistula.
Findings
Urinary diversion and negative pressure therapy resolved the fistula without further surgery.
The patient achieved full clinical and radiological recovery.
Non-surgical techniques can be effective for persistent bladder leaks.
Abstract
A 38-year-old motor vehicle accident victim presented for acute urinary retention due to a clogged Foley catheter, which was inserted two weeks prior during surgery for pelvic and spine fixation and extra-peritoneal bladder rupture. Imaging studies revealed persistent bladder leaks despite primary and, later, secondary surgical repair. A combination of novel non-surgical techniques, that is, urinary diversion, negative pressure dressings, and waiting proved beneficial in our case, and led ultimately to complete clinical and radiological resolution of the fistula.
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Taxonomy
TopicsUreteral procedures and complications · Urological Disorders and Treatments · Infectious Disease Case Reports and Treatments