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Vesicovaginal Fistula Resulting from Loop Electrosurgical Excision in a Woman with Intraepithelial Neoplasia of the Cervix and Vagina: A Case Report

Harroch, Jeffrey MD, MSc1; Siegler, Efraim MD2; Bornstein, Jacob MD, MPA1,3

Journal of Lower Genital Tract Disease: July 2004 - Volume 8 - Issue 3 - pp 205-206
Original Articles

A 52-year-old woman had concomitant cervical intraepithelial neoplasia (CIN) grade 3 and vaginal intraepithelial neoplasia grade 3. On performing a loop electrosurgical excision procedure, a vesicovaginal fistula accidentally occurred. The vaginal intraepithelial neoplasia covering the anterior fornix could have been a contributing factor in the occurrence of the fistula.

A vesicovaginal fistula occurred during a loop electrosurgical excision in a patient with concomitant cervical intraepithelial neoplasia grade 3 and vaginal intraepithelial neoplasia grade 3.

1Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya; 2Colposcopy Unit, Lin Clinic, Haifa; and 3Rappaport Faculty of Medicine, Technion University, Haifa, Israel

Reprint requests to: Jacob Bornstein, MD, MPA, Department of Obstetrics and Gynecology, Western Galilee Hospital, P. O. Box 21, Nahariya 22100, Israel. E-mail: mdjacob@tx.technion.ac.il

©2004The American Society for Colposcopy and Cervical Pathology