Multidisciplinary Management of Cutaneous Gluteus Vaginal Fistula After Sacrospinous Ligament Fixation. uri icon

Overview

abstract

  • INTRODUCTION: Cutaneous gluteal vaginal fistula is a rare but significant postoperative complication which may present years after sacrospinous ligament fixation (SSLF) surgery There is limited data on the management of cutaneous vaginal fistula following SSLF. CASE DESCRIPTION: This case report describes a 77-year-old who presents twenty years after SSLF with cutaneous gluteal vaginal abscess and fistula. She underwent successful management with CT-guided percutaneous drainage of gluteal abscess and placement of guiding cutaneous vaginal catheter, laparoscopic pelvic wall dissection and evaluation, and transvaginal localization and removal of the infected permanent suture. DISCUSSION: Multi-disciplinary approach should be considered in the treatment of chronic fistula status post SSLF, including interventional radiology, urogynecology, and minimally invasive gynecologic surgery.

publication date

  • March 31, 2023

Research

keywords

  • Pelvic Organ Prolapse
  • Vaginal Fistula

Identity

PubMed Central ID

  • PMC10065752

Digital Object Identifier (DOI)

  • 10.4293/CRSLS.2022.00085

PubMed ID

  • 37006378

Additional Document Info

volume

  • 10

issue

  • 1