Vesicovaginal Fistula and Hydronephrosis Post-radiation for Cervical Cancer: Challenges and Strategies in Management

• Published in: Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e63195
• Main Authors: Almogahed, Maged, Wang, Jinguo, Wu, Dawei, Gao, Xin, Baldi, Salem
• Format: Article
• Language: English
• Subjects: Bladder; Blood; Blood platelets; Cancer therapies; Catheters; Cervical cancer; Edema; Fistula; Gynecological surgery; Hemoglobin; Hydration; Hydronephrosis; Leukocytes; Obstetrics; Patients; Potassium; Radiation therapy; Scars; Sodium; Ultrasonic imaging; Urinary incontinence; Vagina
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.63195

This report meticulously examines a complex case involving a vesicovaginal fistula (VVF) and hydronephrosis following radiation treatment for stage IV cervical cancer. It highlights the challenges and nuanced treatment strategies essential for addressing such complications, particularly given the patient's comprehensive medical background, including her cancer treatment and subsequent radiation therapy. Through an in-depth case study, the report details the diagnostic process, emphasizing the role of advanced imaging techniques and clinical evaluations in detecting a VVF along with hydronephrosis - illustrating the delayed adverse effects of radiation therapy. The treatment strategy employed a laparoscopic surgical technique, coupled with a carefully devised postoperative care plan focusing on hydration and anti-inflammatory measures to counteract radiation cystitis and prevent further issues. This narrative not only showcases the complex challenges of managing complications such as VVF and hydronephrosis post-radiation but also underlines the critical need for personalized, interdisciplinary care approaches. These approaches strive to effectively treat cancer while prioritizing the patient's quality of life. Furthermore, the report adds valuable insights to the ongoing dialogue on improving care for individuals facing the enduring impacts of cancer treatments. It argues for a comprehensive approach that includes preventive measures, prompt diagnostic procedures, and customized care strategies to improve the health and quality of life for cancer survivors.