Name : Roza Maulindra

Title : Stone at Vesicovaginal Fistula After 9 Years After-Coming-Head-Delivery

Phone number : 082179448606
E-mail : roza.maulindra@gmail.com

Stone at Vesicovaginal Fistula After 9 Years After-Coming-Head-Delivery

Roza Maulindra1, Amir Fauzi1, Ratih Krisna1, Hadrians Kesuma Putra1
Urogynecology Subdivision, 1Obstetric And Gynaecology Department
Medical Faculty Of Sriwijaya University
Dr. Mohammad Hoesin General Hospital
Email: roza.maulindra@gmail.com
Abstract
Background: Vesicovaginal fistula (VVF), an abnormal passage between the urinary bladder and
the vagina that results in the continuous involuntary discharge of urine into the vaginal vault, is a
serious complication of obstructed labor. It is prevalent in the developing world, estimates that 2
million women live with fistula, mainly in sub-Saharan Africa and South Asia. Persistent infection
of the bladder and the vagina in vesicovaginal fistula may have been a possible etiological factor
of the vesicovaginal stone formation.
Purpose: Discuss stone at vesicovaginal fistule
Methods: Case report
Result: A 27 years old woman, primipara, complaining abdominal dull pain with continuous
involuntary discharge of urine since 3 months ago, pain become worse by day. Urinary
incontinence since 9 years ago after she delivered with after coming head history. Speculum
found: portio was not livide, orificium utery externum closed, no fluor , fluxus (+), a dicontinuitas
tissue size 1 cm x 1 cm at anterior wall of vaginal fornix, there is white greyish solid mass in the
middle of hole, its confirmed by vaginal toucher examination. Radiologic and vaginal
examinations revealed bilateral hydronephrosis and a giant stone lying down between the bladder
and vagina. A vesicovaginal stone removed by inscision at the hole then the mass was clamned
using tenaculum looked stone size 6 cm x 6 cm. The wound was situational sewn and attached by
tampons. The fistula repaired 1/3, will be full repaired after 3 months later.
Conclusion: Vesicovaginal fistula is one of serious complication of obstructed labor. A stone at
vesicovaginal fistula is a rare case, it could happen by persisten infection at the hole.
Key words : vesicovaginal fistula, urinary stone, obstructed labor