Vesico-Hip Fistula from Bladder Puncture with Subsequent Infected Total Hip Arthroplasty

Vishwanath, Jashan; Ng, Yew Poh; Teo, Yee Sze; De, Soumen Das

doi:10.1016/j.arth.2006.08.008

Cited by 8 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vesico-acetabular-cutaneous fistula (VACF) is a rare entity, the few cases reported have predominantly occurred following hip arthroplasty 1–5. The present unique case is a recurrent VACF, recurring 10 years following corrective surgery in a patient with post-traumatic neurogenic bladder with hip arthroplasty.…”

Section: Introductionmentioning

confidence: 84%

“…VACF is rarely reported in literature, predominantly occurring post-THR, due to mechanical injury, misplaced screw placement leading to chronic prosthetic infection3–5 or displacement of cement 7. Wang and Xu reported a vesico cutaneous (hip) fistula formation secondary to inadequately treated gluteal abscess leading to repeated infections which led to cystitis glandularis 8.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Recurrent vesico-acetabulo-cutaneous fistula: lessons to be learnt

Wadhwa¹,

Goel²,

Talwar³

et al. 2022

BMJ Case Rep

View full text Add to dashboard Cite

A man in early 40s met with an accident with a complex pelvic fracture and extraperitoneal bladder injury and posterior urethral disruption 16 years ago. He additionally had left lumbar spinal segment mixed nerve injury, resulting in a foot drop. He underwent laparotomy and a diverting cystostomy at the time with a primary perineal urethroplasty a year later. He later developed pseudoarthrodesis of the hip joint, and poorly compliant bladder with complete block at bulbar urethra. A redo anastomotic urethroplasty was performed, hyperreflexive neurogenic bladder was managed with intravesical botox injections and underwent a hip replacement. Having defaulted botox injections, he developed a vesico-acetabulo-cutaneous fistula and the hip prosthesis was explanted. Later he underwent a ileal cystoplasty and a revision hip replacement. Ten years later, he presented with a recurrent fistula due to poor compliance with clean intermittent catheterisation. A challenging exploration with fistula excision was done with a primary bladder repair.

show abstract

Section: Introductionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Recurrent vesico-acetabulo-cutaneous fistula: lessons to be learnt

Wadhwa¹,

Goel²,

Talwar³

et al. 2022

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…Iatrogenic fistula formation at the time of surgery can result from mechanical injury to the bladder from instrumentation of the hip, or from thermal damage from polymethyl methacrylate cement. Vishwanath et al reported a case where a defect in the acetabular floor following osteolysis resulted in bladder puncture and a vesicoarticular fistula [2]. Hamano et al reported a patient who presented with frank haematuria 10 years after total hip replacement.…”

Section: Discussionmentioning

confidence: 99%

Cement Burn Causing a Vesicoarticular Fistula

Lamb

King

Kerr

et al. 2009

British Journal of Medical and Surgical Urology

View full text Add to dashboard Cite

“…O'Sullivan et al also reported a case of a cemented acetabular component lying free in the bladder of a patient with a previously irradiated hip [34,35]. Viswanath reported a case of vesico-acetabular fistula and infected hip arthroplasty in a patient on chronic steroids for idiopathic thrombocytopenic purpura, although in this setting the fistula was believed to be secondary to bladder perforation and not orthopaedic intervention itself [36]. As evidenced by these reports, atypical presentations may accompany urologic injury in the setting of potential risk factors.…”

Section: Bladder Injurymentioning

confidence: 99%

Genitourinary complications in orthopaedic surgery

Testa

Alam

Kahan

et al. 2021

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Genitourinary complications following orthopaedic intervention are uncommon but well-described occurrences and exist on a spectrum of severity. These complications vary depending on the anatomic location and surgical approach, with surgery of the spine, hip, and pelvis of particular concern. Injuries to the urinary tract may present acutely with urinary retention or hematuria. However, they often have a delayed presentation with severe complications such as urinary fistula and recurrent infection. Delayed presentations may place the onus of timely and proper diagnosis on the orthopaedic provider, who may serve as the patient's primary source of long-term follow-up. Detailed knowledge of anatomy and at-risk structures is key to both preventing and identifying injury. Although iatrogenic injury is not always avoidable, early identification can help to facilitate timely evaluation and management to prevent long-term complications such as bladder dysfunction, obstructive renal injury, sexual dysfunction, and chronic pain.

show abstract

Vesico-Hip Fistula from Bladder Puncture with Subsequent Infected Total Hip Arthroplasty

Cited by 8 publications

References 5 publications

Recurrent vesico-acetabulo-cutaneous fistula: lessons to be learnt

Recurrent vesico-acetabulo-cutaneous fistula: lessons to be learnt

Cement Burn Causing a Vesicoarticular Fistula

Genitourinary complications in orthopaedic surgery

Contact Info

Product

Resources

About