BACKGROUND appendicovesical fistula is a rare complication of advanced acute appendicitis and represents a rare type of enterovesical fistula. Its symptoms are vague and imprecise and its diagnosis is difficult, requiring a high level of suspicion. Exploratory laparotomy has been the key for diagnosis and definitive treatment for many years, but recently the laparoscopic approach is standing ou...

BACKGROUND The prevention and treatment of obstetric fistula still remains a concern and a challenge in low income countries. The objective of this study was to estimate the overall proportions of failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identify its associated factors. METHODS This was a retrospective cohort study using dat...

Rectal atresia is a rare condition in which the anus and sphincter muscles are normally developed, with usually no fistulous communication with the urinary tract. We describe an unusual case of membranous rectal atresia with recto-labial fistula. It was treated by blind perforation of rectal membrane with lay opening of fistlous tract.

A 47-year old male presented with frequent urinary tract infections (UTIs), hematuria and pneumaturia a past history of laparoscopic bilateral inguinal hernia repair 5 years ago. Ultrasonography (USG) contrast enhanced computed tomography did not furnish any evidence to arrive at diagnosis, interestingly, cystoscopy revealed mesh in the bladder making apparent diagnosis Sigmoido-vesical fistula...

A case report describes the successful aspiration of a non-deflating suprapubic urinary catheter by passing a cannula directly down the fistula tract. It is a relatively safe and simple procedure that can be performed in an accident and emergency department.

Ureterocutaneous fistulas are rare, often iatrogenic complications. We present a case of a 60 year old woman suffering a ureterocutaneous fistula in association with an infected vascular graft. Percutaneous diversion of urinary fluid with a nephrostomy tube is an acceptable form of management.

INTRODUCTION Appendico-vesical fistula is a rare disease for which a precise diagnosis is often difficult to make.(1) The clinical presentation is recurrent urinary tract infections with or without gastro-intestinal symptoms.(2)As the symptoms are not specific, usually there is a large interval between the onset of symptoms and the final diagnosis.(3) The most accurate diagnosis tools are throu...

BACKGROUND Information was collected on 1500 obstetric fistula patients attending Bugando Medical Centre (BMC) in Mwanza, Tanzania. OBJECTIVES To identify high risk populations of fistula patients treated from 1998-2006. DESIGN A prospective description study of 1294 patients treated for urine and faecal incontinence at BMC. SETTING Obstetrics and Gynaecological ward at Bugando Medical Ce...

We present the case of a 13-year-old girl with a recurrent urinary tract infection, malodorous vaginal discharge, and urinary incontinence caused by a retained vaginal foreign body. The foreign body, an aerosol cap retained for over 2 years, resulted in the formation of a ureterovaginal fistula, an extremely rare complication. The critical value of ultrasound and magnetic resonance urography in...

OBJECTIVES We evaluated retrospectively, the long-term outcome of patients with post-prostatectomy urinary incontinence (PPUI) after placement of the Periurethral Constrictor (PUC). MATERIALS AND METHODS Fifty-six men with severe PPUI were studied, with a mean age of 68.5 years old. Fifty-one men had PPUI due to radical surgery having the device placed around the bulbous urethra, and five ind...