Dondu suffered a vesico-vaginal fistula following a total abdominal hysterectomy procedure on 28 July 2008 at North Middlesex University Hospital NHS Trust.

Following removal of Dondu’s catheter it was found that she could not pass urine regularly and was beginning to suffer abdominal pain. She was further passing blood tinged urine. Notwithstanding this, Dondu was discharged from hospital.

Dondu was re-admitted to the hospital on 5 August 2008 and following an ultrasound scan, the doctor advised that Dondu be re-catherised. In the days following, Dondu suffered a recurrent urinary tract infection. Dondu was incontinent by now and had taken to wearing nappies.

A CT urogram revealed that Dondu had suffered a fistula to her bladder which was causing her urinary incontinence and ongoing pain. A repair of the fistula was attempted on 24 October 2008. Unfortunately, the repair was unsuccessful. Further repairs were attempted on 15 June 2009 and again on 22 March 2010, to no avail. Dondu had been incontinent for nearly two years; the chances of this changing in the future were slim.

CH Legal were instructed and obtained expert evidence from a Consultant Obstetrician & Gynaecologist and a Consultant Urological Surgeon.

Hospital negligence

CH Legal alleged that the Hospital was negligent in failing to identify a degree of thinning of the bladder such as to lead to the early breakdown of the bladder. CH Legal further alleged that post-operatively, inadequate attention was paid to the amount Dondu was voiding which caused over-distension of the bladder and further thinning of the bladder, leading to breakdown. CH Legal were successful in arguing that the development of a fistula represented substandard clinical care and that the post-operative management was lacking in coordination.
The case was settled for £200,000.00.

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