Vesicovaginal Fistula: A Rare Complication of Perineal Burns in Young Girls

Understanding Vesicovaginal Fistula in Pediatrics

  • VVF is an abnormal connection between the bladder and vagina.
  • It often results from trauma, burns, or surgical complications.
  • Common symptoms include continuous urinary leakage and associated skin irritation.

Case Summary:

  • Patient: 12-year-old girl with a history of a perineal burn.
  • Symptoms: Involuntary urine leakage through the vagina.
  • Diagnosis: Confirmed through intravenous urography and cystoscopy.
  • Treatment: Transvaginal surgical repair with successful outcomes.
  • Outcome: No post-surgical complications, with full recovery.

Surgical Approach & Success Factors:

  • A transvaginal approach was chosen due to its lower morbidity and high success rate.
  • Key procedural steps included:
    • Incision around the fistula.
    • Careful dissection between bladder and vagina.
    • Separate closure of each structure.
  • Younger age and smaller fistula size positively influenced surgical success.

Further Reading & Related Topics:

Conclusion: VVF following perineal burns in young girls can significantly impact their quality of life. Prompt diagnosis and effective surgical intervention are crucial for recovery. Medico-legal considerations should also be accounted for in such cases.

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