A case with vesicouterine fistula: mini review

Arch Gynecol Obstet. 2012 Mar;285(3):667-70. doi: 10.1007/s00404-011-2188-z. Epub 2012 Jan 8.

Abstract

Aim: The objective is to present a case with vesicouterine fistula after cesarean section.

Case: A 27-year-old female patient, G2P2, was admitted to hospital with the complaint of severe crampy pelvic pain and dysuria during micturition without any incontinence. She had two cesarean sections, last was 14 months before admission. Her urinalysis revealed microscopic hematuria. Diagnosis of uterovesical fistula suspected by transvaginal ultrasonography and diagnosed by hysterography. Vesicouterine fistula operated by transperitoneal approach without any complication.

Conclusion: Increasing cesarean section rates concomitantly carries increasing maternal and neonatal adverse outcomes including operative complications as genitourinary fistulae.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cesarean Section / adverse effects
  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Pelvic Pain / diagnosis
  • Pelvic Pain / surgery
  • Ultrasonography
  • Vesicovaginal Fistula / diagnosis
  • Vesicovaginal Fistula / diagnostic imaging
  • Vesicovaginal Fistula / etiology*
  • Vesicovaginal Fistula / surgery