Total Pelvic Exenteration for Locally Invasive Cervical Cancer with Vesico-Vaginal Fistula

Cervical cancer still represents an important health problem, many cases still being diagnosed in an advanced stage of disease with already existing invasion of the surrounding viscera. (1,2) The presence of a locally invasive cervical tumor with aggressive surgical behaviour can produce local tumoral invasion which sometimes is associated with continuity solutions between different organs. When it comes to cervical cancer, the viscera most frequently affected by the formation of these fistulas are rectum and urinary bladder. (3,4) We present the case of a 49 year old patient diagnosed with stage IVA cervical cancer in whom a total supralevator exenteration was performed.