Rare cases of vesicouterine fistula

Low Urin Tract Symptoms. 2022 Sep;14(5):401-404. doi: 10.1111/luts.12440. Epub 2022 Mar 27.

Abstract

Case: Vesicouterine fistula (VUF) is the rarest form of genitourinary fistulas. As lower-segment cesarean section becomes a more common mode of delivery, they have become the leading cause of VUF formation. We present four VUF patients with varied symptoms such as menouria, amenorrhea, with or without urinary incontinence. We diagnosed all of our cases through cystoscopy in conjunction with methylene blue dye test or hysteroscopy.

Outcome: We successfully repaired VUF in three open surgery instances and one laparoscopic case. To diagnose VUF, cystoscopy and hysteroscopy are still the gold standard. An expert surgeon's open or laparoscopic repair is effective and safe. The patients no longer experienced incontinence, cyclical hematuria (menouria), discomfort, or sexual dysfunction.

Conclusion: Cystoscopy and hysteroscopy remain the gold standard tool in diagnosing VUF. Open or laparoscopic repair performed by an experienced surgeon is an effective and safe technique with a successful outcome.

Keywords: open surgical repair; vesicouterine fistula.

Publication types

  • Case Reports

MeSH terms

  • Cesarean Section / adverse effects
  • Female
  • Fistula* / diagnosis
  • Fistula* / etiology
  • Fistula* / surgery
  • Humans
  • Laparoscopy* / adverse effects
  • Pregnancy
  • Urinary Bladder Fistula* / diagnosis
  • Urinary Bladder Fistula* / etiology
  • Urinary Bladder Fistula* / surgery
  • Urinary Incontinence* / surgery
  • Uterine Diseases* / complications
  • Uterine Diseases* / diagnosis
  • Uterine Diseases* / surgery

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