A woman is undergoing surgery for a vesicovaginal fistula. What is a common postoperative complication of this surgery?

Question

A) Prolapsed uterus
B) Vulvitis
C) Endometriosis
D) Infection

Answer 1

D
Feedback:
The incision for a fistula must granulate from the inside out to prevent an abscess. The closeness of the urinary tract to the bowel makes infection a common postoperative complication. A prolapsed uterus is one that sags or herniates into the vagina or, in severe cases, even falls outside the vagina. The most common cause is damage during childbirth. Vulvitis, inflammation of the vulva, may result from trauma caused by scratching, improper cleansing, birth control pills, or irritating vaginal discharge. In endometriosis, tissue resembling endometrial tissue appears in various places in the pelvic cavity, such as on the ovaries, oviducts, bladder, intestine, rectum, or pelvic wall. The cause of endometriosis is unknown, but it is not related to fistulas.