Multidisciplinary management of vesicovaginal and rectovesical fistulas developing after laparoscopic hysterectomy: A Qualitative Case Study.
Arife Büşra Karaosmanoğlu, Sevcan Sarıkaya, Yasemin Erkal Aksoy
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Case in brief
A 48-year-old woman developed bladder perforation and vesicovaginal and rectovesical fistulas after laparoscopic hysterectomy, requiring secondary surgery. The qualitative case study drew on medical records, clinical observations, multidisciplinary documentation, and an in-depth patient interview. The complications caused substantial psychological distress. The report describes multidisciplinary management, including midwifery interventions, as supporting clinical stabilization, psychological wellbeing, and adherence to care.
What made this case unusual
The case involved both vesicovaginal and rectovesical fistulas after laparoscopic hysterectomy, alongside a focus on the patient’s psychological experience and midwifery care.
Diagnostic / clinical pearl
Complex fistulas after hysterectomy may require secondary surgical intervention; this case also highlights the value of addressing psychological wellbeing and care adherence within multidisciplinary management.