Iatrogenic Vesicovaginal Fistula (VVF) Secondary to “Treatment” of Pelvic Organ Prolapse – A Case Report

Abstract

The commonest cause of VVF in sub-Saharan Africa is prolonged obstructed labour. Most affected women are young and in the early part of their reproductive years. We present a case of a 55-year-old post-menopausal woman who had VVF following treatment of Pelvic organ prolapse by a traditional healer. She presented with continuous urine leakage and pelvic organ protrusion. Evaluation revealed pelvic organ prolapse (Stage 4) and Kees Waaldjik type 11Ba fistula. She subsequently had repair of the fistula and vaginal hysterectomy with pelvic floor repair with satisfactory outcomes.

Key words: vesicovaginal fistula, iatrogenic, postmenopause, prolapse