The fistulas caused by mechanical trauma are rare, mainly the intrinsic type caused by vesical lithiasis. The treatment of these fistulas is controversial, concerning the ideal surgical technique. Several techniques have been developed, including the transvaginal and the transabdominal surgical approaches. The authors report the case of a patient with urinary loss for six months. Physical and radiological examination showed the occurrence of a vesicovaginal fistula caused by vesical lithiasis. The treatment was in two stages: first the extraction of the vesical stone by transabdominal approach and second, the correction of the fistula by transvaginal approach.
Fistula; Vesicovaginal fistula; Bladder stones
