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Neovesicovaginal fistula due to a retained double-J stent in an ileal neobladder: surgical management and clinical considerations

Year: 2025

Type: article

Abstract: We report a neovesicovaginal fistula in a woman with an ileal neobladder after radical cystectomy, caused by prolonged retention of a double-J ureteral stent that became calcified. The patient presented with continuous urinary leakage and recurrent infection. Diagnosis was confirmed by cystoscopy, methylene blue testing, and cystography. Transvaginal repair with two-layer closure and anterior vaginal wall reinforcement was performed; a Foley catheter was maintained for 21 days. Recovery was uneventful; the catheter was removed after imaging confirmed no urinary leak. This case emphasizes the need for stent surveillance and supports transvaginal repair as an effective option in selected neovesicovaginal fistulas.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103281

Authors: Lorena Vera Ubillús, Rocío Zavala Zavala, Segundo Gamboa Kcomt

Institution: Hospital Nacional Dos de Mayo

Language: English

Topic: Ureteral procedures and complications

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160