In Kenya, there is an estimated 1000 new obstetric fistula (OF) cases each year, with only 7.5% currently treated.1 It is probable these figures are underestimates since not only has there been generally a lack of commitment in addressing and resolving this problem, but also these young girls or women tend to live with their fear and stigmatization in silence and isolation, unknown to the healt...

Intravesical ectopic pregnancy is a very rare condition. Unlike traditional pregnancies, patients generally present with hematuria. Our case presented abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG measured as 10033 IU / ml. In ultrasonography, an appearance compatible vesicouterine fistula tract gestational sac in the bladder were obse...

introduction: aphallia is a very rare urogenital anomaly with incidence rate of 1 in 30,000,000. it usually coexists with other anomalies such as cardiovascular anomalies which are incompatible with normal life, and therefore infants are delivered stillbirth or live for a very short period of time. methods: we present an 18 months old boy with aphallia associated with congenital urethrorectal f...

Despite the many controversies surrounding the proper surgical repair of vesicovaginal fistulas, the current methods available allow surgeons to select the procedure best suited for each specific problem. Because each fistula is unique, surgeons will often be required to individually vary their approach and technique. Regardless of whether a transabdominal or transvaginal approach is selected, ...

Abstract Background Obstetric fistula (OF) complicated by urethral loss (UL) poses a challenge to both the surgeon and obstetric patient. The involvement of urethra closure mechanism in OF is an important determinant successful restoration urinary continence. with UL often associated unsuccessful repair outcome. We describe reconstruction genital tract patients outcomes repair. Methods Aim To r...

Vesicocutaneous fistulas are very rare pathologies in the urinary tract. We present the second case of a vesicocutaneus fistula after cesarean section, and discuss strategies for prevention, diagnosis, and treatment of this exceptional complication. A woman with a vesicocutaneous fistula after cesarean delivery was admitted and diagnostic tests including fluoroscopy, magnetic resonance imaging ...

A case of post-traumatic arteriovenous fistula in the left thigh is reported 25 years after injury with haematuria. The patient had sustained bullet injury in his left thigh in 1986. Clinically, he had thrill and bruit in his left thigh and groin. Ultrasound abdomen and pelvis revealed a vascular mass in the left side of urinary bladder. CT angiography showed communication between left superfic...

A neovesicocutaneous fistula is a rare complication after orthotopic bladder reconstruction, particularly in the late postoperative period. We report the case of a 59-year-old man who had undergone ileal neobladder construction 17 months previously. He presented with urinary retention concomitant with urinary tract infection due to a neovesicourethral anastomotic stricture. After a combination ...

Enterovesical fistula is a relatively uncommon complication of colorectal and pelvic malignancies, diverticulitis, inflammatory bowel disease, radiotherapy, and trauma in Asian countries. A case of vesico-ileosigmoidal fistula and a literature review of this disease in Japan are presented. A 70-yr-old male was referred with complaints of urinary pain and pneumaturia. On admission, urinary tract...

BACKGROUND Acquired rectourethral fistulas are uncommon and challenging to repair. Most arise as a complication of prostate cancer treatment. Several procedures have been described to repair rectourethral fistulas with varying outcomes. We review the etiology, management, and outcomes of patients with rectourethral fistulas at our institution. MATERIALS AND METHODS A retrospective review of p...