A Case of Vesicouterine Fistula: Unwanted Medical Anomaly but Consequentiality of Most-Wanted Medical Intervention ‘Caesarean Section’

Bakshi, Kavitha; Lokam, Kusuma; Sasikumar, J

doi:10.7860/jcdr/2014/5733.3940

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…In this approach, the bladder is catheterized for 4–8 weeks, and amenorrhea is provided with oral contraceptives, progesterone, or gonadotropin hormone analogues [ 1 , 3 , 8 ]. In selected cases, cystoscopic fulguration may serve as a conservative approach in the presence of a small fistula [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

Kurt

Obuz

2016

Case Reports in Obstetrics and Gynecology

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Vesicouterine fistula is a rare type of urogenital fistulas. It is most commonly observed after cesarean section (C/S) due to iatrogenic reasons. In this article, a case of a vesicouterine fistula which developed after C/S operation is presented. This was the patient's second C/S and this time placenta previa totalis was the primary pathology. Since it is a rare complication, we found it interesting, and, in this article, this clinical problem was discussed with details about diagnosis and treatment in light of the literature.

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Section: Discussionmentioning

confidence: 99%

“…Expectant or surgical treatment can be preferred in cases that are symptomatic in the early postpartum period. Surgery should be planned in the first 48 hours for the cases with intensive haematuria and postpartum pain [ 15 ]. However, successful results were also reported in the periods up to days 5 and 17 [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

Kurt

Obuz

2016

Case Reports in Obstetrics and Gynecology

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Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

Bonavina,

Busnelli,

Acerboni

et al. 2023

Intl J Gynecology & Obste

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BackgroundVesicouterine fistula (VUF) is a iatrogenic injury in the vast majority of cases. The worldwide increase of cesarean delivery rates is expected to lead to increased complications.ObjectivesTo assess current evidence on VUF pathogenesis and surgical management.Search StrategyPubmed and Embase databases were searched from January 2000 to January 2023 using relevant key words.Selection CriteriaOnly original articles including either transabdominal or transvaginal surgical routes for post‐cesarean VUF repair, in English language, were included.Data Collection and AnalysisTwo authors independently screened the references for eligibility, data extraction, and assessment of methodologic quality. All available surgical outcomes were recorded.Main ResultsOf the 1160 studies retrieved, 67 were selected for analysis. Most of these were case reports, case series, or observational cohort studies including a total of 284 patients. The majority (78.6%) of patients had more than one cesarean section, and approximately 10% of them experienced an overt bladder injury and/or uterine rupture at the time of cesarean delivery. The supratrigonal part of the bladder was most commonly involved (92.5%). The majority of patients (88.8%) underwent delayed VUF repair through laparotomy. Length of stay and blood loss were significantly less in patients treated via a minimally invasive approach (P < 0.001 and P = 0.02, respectively). Most patients had double‐layer bladder repair and single‐layer uterine repair. The overall success rate was 100% on first attempt for each independent combination of different surgical approaches and techniques. Live birth following VUF repair was reported in 23 patients.ConclusionsPaying close attention to surgical details is crucial to reduce the incidence of this complication and recurrence rates. Double‐layer bladder closure and delayed timing of repair of VUF are recommended.

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Youssef syndrome with a summary of management options

et al. 2021

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Vesicouterine fistula is one of the rare varieties of urogenital fistula. Type I urogenital fistula or Youssef syndrome is characterised by menouria, amenorrhoea and urinary continence and it mostly follows lower segment caesarean delivery. There are only scattered case reports to help guide diagnostic and therapeutic options for this condition. These patients mostly need a combination of diagnostic modalities to confirm the diagnosis. Here, we present one such case of para 4 live 4 with classical symptoms of Youssef syndrome following a laparotomy for uterine rupture repair. CT urography confirmed the diagnosis and cystoscopy helped localise the exact location. Transabdominal fistula excision and repair was done. The paper also presents a summary of diagnostic and therapeutic options for this condition as reported in previous case reports for easy reference for practising gynaecologists and urologists.

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A Case of Vesicouterine Fistula: Unwanted Medical Anomaly but Consequentiality of Most-Wanted Medical Intervention ‘Caesarean Section’

Cited by 3 publications

References 4 publications

A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

A Case of Type 2 Youssef’s Syndrome following Caesarean Section for Placenta Previa Totalis

Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

Youssef syndrome with a summary of management options

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