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vesico vaginal fistula

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Case 84 - A 45-Year-Old Woman with Watery Vaginal Discharge Six Weeks after Hysterectomy
- By Zineb Mashak
Edited by Todd R. Jenkins, University of Alabama, Birmingham, Lisa Keder, Abimola Famuyide, Kimberly S. Gecsi, David Chelmow
Book:

Surgical Gynecology

Published online:

19 November 2021

Print publication:

02 December 2021, pp 257-259
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Summary

A 45-year-old female, gravida 3, para 3, presents to the office for a postoperative visit complaining of watery vaginal discharge. She underwent a hysterectomy six weeks ago for abnormal uterine bleeding. Two weeks ago, she first noticed intermittent watery vaginal discharge, which has become persistent. She describes the discharge as yellow and sometimes blood tinged. She also reports pain in her vagina and an abnormal urinary stream. She denies dysuria, fevers, chills, nausea, or vomiting. She has regular bowel movements and denies hematochezia. She underwent a laparoscopic assisted vaginal hysterectomy with bilateral salpingectomy. The procedure was difficult due to dense adhesive disease in the vesicouterine space. She has not resumed sexual activity and plans on returning to work next week.