Medical Verdicts

Doctor’s defense He was not negligent. Also, the delay did not significantly alter the outcome.

Verdict $750,000 Georgia verdict.

Hysterectomy results in vesicovaginal fistula

After a total abdominal hysterectomy and bilateral salpingo-oophorectomy, a woman in her late 30s experienced 3 weeks of “nonstop” urination and leakage. She was diagnosed with a vesicovaginal fistula and referred to a urologist, who confirmed the fistula by cystography. Her incontinence continued.

During open surgical repair 3 months after the hysterectomy, a suprapubic catheter was placed in the patient’s bladder and a Foley catheter in her urethra. The catheters were removed a few weeks later.

Following surgery, the patient experienced urinary tract infections, bladder infections, and incontinence. A cystogram revealed a vesicovaginal fistula from the middle area of the bladder into the vagina. A second Foley catheter was inserted. Four months later, surgery to repair the fistula and lysis of adhesions was mostly successful.

Patient’s claim A laceration that occurred during the hysterectomy led to a vesicovaginal fistula. Also, despite the apparent success of the final surgery, she continues to suffer urinary urgency, frequency, and pain.

Doctor’s defense Not reported.

Verdict $525,000 settlement, paid by the physician’s insurer and his practice.