Tear of Vaginal Lobular Capillary During Micturition Resulting in Vesicovaginal Fistula: A Case Report

Raha Maroyi,1,2 Ajay Rane,3 Lynsey Hayward,4 Chasinga Baharanyi,2,5 Bwihangane Birindwa Ahadi,2 Denis Mukwege1,2 1Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, The Democratic Republic of Congo; 2Université Evangélique en Afrique (UEA), Bukavu, The Democratic Republic of Congo; 3Department of Obstetrics and Gynaecology, James Cook University, Townsville, QLD, Australia; 4Department of Urogynaecology, Middlemore Hospital, Auckland, New Zealand; 5Department of Pathology, Panzi General Referral Hospital, Bukavu, The Democratic Republic of CongoCorrespondence: Raha Maroyi, Université Evangélique en Afrique (UEA), P.O. Box 3323, Bukavu, The Democratic Republic of Congo, Tel +243997254812, Email ken.raha01@gmail.comAbstract: We report an unusual case of female genital fistula secondary to a lobular capillary hemangioma. A 35-year-old Congolese woman presented with urinary incontinence associated with a vaginal “tearing” sensation during micturition. A suburethral vascular bud and vesico-vaginal fistula were observed on examination. Over 2 weeks, the fistula enlarged to involve the trigone and bladder neck, resulting in a semi-circumferential urethro-vesico-vaginal fistula. Histology revealed a lobular capillary hemangioma. During fistula repair, the edges with vascular clusters were freshened, the genital fistula was closed and the woman became continent of urine.Keywords: vesico-vaginal fistula, female genital fistula, lobular capillary hemangioma, etiology, surgical procedure