A case with vesicouterine fistula: mini review

Abstract

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

Fetus in the Bladder: Rare Complication of Vesicouterine Fistula

“…This condition is very rare and accounts for 1% to 4% of all urogenital fistulas, including vesicovaginal fistula, ureterovaginal fistula, and urethrovaginal fistula [1, 2]. The most common causes of this problem are considered to be iatrogenic injuries resulting from Cesarean section, use of vaginal forceps, as well as cervical dilation and uterine cavity curettage abortion [3–5]. The more rare causes of this type of fistulas include embolization of uterine arteries, vaginal birth after previous Cesarean section, migration of intrauterine devices, placenta percreta, and endometriosis.…”

Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature

“…6 The possible mechanisms underlying the development of vesicouterine fistula include inadequate mobilization of the bladder flap, sutures passing through the bladder wall, unrecognized trauma to the bladder wall, excessive devascularization of the bladder during dissection, and cauterization. 7,8 The risk increases in repeat Cesarean sections because of scarring and the presence of dense adhesions obscuring dissection in the right planes. 9 In 1957, Youssef described the classic triad of amenorrhea, and cyclic hematuria (menouria) in the absence of urinary incontinence, which is characteristic of vesicouterine fistula, as Youssef's syndrome.…”

“…10 Recurrent urinary tract infections, secondary infertility, and first trimester abortions may be observed. 7 It is rare that urinary incontinence is the only symptom. Interestingly, our patient presented with urinary incontinence 30 years after the Cesarean section.…”

Vesicouterine fistula, a rare cause of genitourinary fistula

“…[2] Son yıllarda artan sezaryen oranları, genitoüriner fistüller gibi ameliyata bağlı komplikasyonların görülme sıklığının da artışını beraberinde getirmiştir. [3] Uterovezikal fistüllerin klinik prezentasyonu çeşitlilik göstermektedir. Hastalar üriner inkontinans, amenore ve siklik hematüri gibi yakınmalarla başvurabilmektedirler.…”