Open Access

RESIDENT’S CORNER

Sigmoid conduit-neovaginal fistula: a case report and literature review

Niccola B. Lynch¹, Rena D. Malik²

1 Department of Urology, Columbia University Irving Medical Center, New York, New York, USA
2 Division of Urology, Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA
Address correspondence to Dr. Niccola Lynch, Department of Urology, Columbia University Irving Medical Center, 630 West 168th Street, New York, NY 10032 USA

Canadian Journal of Urology 2022, 29(3), 11194-11197.

Abstract

Total pelvic exenterations (TPE) are high morbidity procedures, with up to 38% of patients experiencing a major complication after TPE surgery. We report the case of a 69-year-old woman with a sigmoid conduit-neovaginal fistula who presented with new onset continuous vaginal leakage and decreased urostomy output 3 months post-op from a TPE. We highlight the presentation, diagnosis, conservative management, and surgical management of conduit-vaginal fistulas.

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