PFD Week 2017-Persistent Vaginal Leakage in The Setting of an Apical Vaginal Sinus Tract

Persistent Vaginal Leakage in The Setting of an Apical Vaginal Sinus Tract

Video Transcription

Video Summary

This video discusses the case of a 46-year-old female who presented with persistent vaginal leakage and a suspected vesicovaginal fistula. Despite normal pelvic exams, tampon tests, and urodynamic testing, a CT urogram revealed fluid in the upper vagina, and vaginoscopy showed a well epithelialized tract. Further exploration with a ureteroscope confirmed the presence of a left salpingovaginal fistula. Laparoscopic removal of the vaginal sinus tract was performed, including salpingectomy and repair of a small defect in the vaginal cuff. The patient experienced complete resolution of symptoms after surgery. This case highlights a stepwise approach to diagnose and treat salpingovaginal fistulas using minimally invasive techniques.

Asset Subtitle

Dina Bastawros, MD

Keywords

vaginal leakage

vesicovaginal fistula

pelvic exams

urodynamic testing

salpingovaginal fistula