A retrovesical approach for the laparoscopic repair of vesicouterine fistulas

Aminsharifi, Alireza; Afsar, Firoozeh; Shirazi, Mohamad K.

doi:10.1016/j.ijgo.2013.07.032

Cited by 8 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They concluded that laparoscopic repair of VUF is feasible and effective but longer follow up data needed. [15] In the present study, cystograms were obtained for all patients at 2-3 weeks postoperatively with no leakage of contrast. Because of very rare incidence of VUF, the individual experiences in the management of these challenging cases sare also limited in number.…”

Section: Discussionmentioning

confidence: 97%

“…Median operating time was 220 min (190-280) which was longer than our study (135-186 minutes) and any complication was not reported. [14] Aminsharifi et al [15] described transperitoneal laparoscopic repair of two VUF with average time of 170 min and less than 100 mL blood loss. They obtained cystograms at 4 weeks postoperatively and urethral catheter was removed when there was no leakage on cystogram.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

Purkait¹,

Mehrotra²,

Sinha³

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: Vesicouterine fistula (VUF) is an uncommon cause of female genito-urinary fistula. Most of these fistulas are due to lower segment uterine cesarean section (LSCS). Traditionally, open surgical repair has been the traditional treatment. However, laparoscopic repair of VUF is a minimally invasive technique and few case reports have been published with short term follow up. In the present study, we are presenting our long-term outcome of laparoscopic repair of VUF. Material and methods:A retrospective analysis of 8 patients with VUF was performed from 2010 to 2015. Approval of Institutional Review Committee was obtained. All had history of LSCS of whom 3 had history of prolonged obstructed labor. Radiological imaging included ultrasound of kidney, ureter and bladder for all patients and hysterosalphingography in 4 patients and contrast enhanced computed tomography scan in 4 patients. Results:Median age of the patient was 25.5 years (range, 22-32), and median follow up was 2.3 years (range, 1 -4). The most common presentation was cyclical menstrual bleeding through urine (menouria) in all, associated amenorrhea in 6 and vaginal leakage of urine in 2 cases. All patients underwent laparoscopic repair with successful outcomes. The mean operating time was 155±14.5 min (range, 135-186 min) with a median blood loss of 100 mL (range, 50-210 mL). Successful pregnancy was completed in 2 patients and other patients were taking contraceptives. Conclusion:Laparoscopic repair of VUF is a safe and effective minimally invasive technique with successful pregnancy in long-term follow up.

show abstract

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

Purkait¹,

Mehrotra²,

Sinha³

et al. 2017

Turkish Journal of Urology

View full text Add to dashboard Cite

show abstract

“…The existence of associated lesions, difficulties of exposure, menopause or proximity to menopause justifies the hysterectomy with closure of the fistulous vesical orifice that we carried out in 4 cases. Other relatively recent techniques have been proposed, namely cystoscopic fulguration consisting of endoscopic electrocoagulation (the endoscopic treatment may be effective in treating small vesicouterine fistulas) the vesical orifice of the fistula [10], as well as laparoscopic treatment of vesicouterine fistula at the vesicocervical level [17,21]. A urinary catheter is essential and a radiographic control desirable three to four weeks after the cure.…”

Section: Discussionmentioning

confidence: 99%

Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)

Loue¹

2017

JGO

View full text Add to dashboard Cite

Abstract:The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d'Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef's triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.

show abstract

“…Reports of failure predominate over successes following conservative management with catheterization, and surely contribute to the acceptance of surgery as the gold standard treatment. For example, two cases managed conservatively for four and six weeks required subsequent surgical repair, which was performed laparoscopically [7]. In a series of 22 patients with VUF, seven women were first treated conservatively, with closed bladder catheterization for three weeks Revised manuscript accepted for publication October 22, 2014 Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula and treatment of urinary infection [8].…”

Section: Discussionmentioning

confidence: 99%

Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula

Aa¹,

Sahly²,

Mansouri³

et al. 2016

Clin. Exp. Obstet. Gynecol.

View full text Add to dashboard Cite

Surgery, the usual treatment option for vesicouterine fistula (VUF), is often delayed to allow involution of the uterus. The authors report a case of successful treatment with urinary catheterization. A 39-year-old, gravida 7, para 6, woman presented at term with obstructed labor. She had one previous cesarean section followed by a vaginal birth before. She underwent emergency cesarean section. She was readmitted after one week because of pelvic collection. Aspiration revealed pus and urine. Retrograde cystogram and pelvic MRI confirmed the presence of VUF. Urinary bladder catheterization for six weeks resulted in the successful treatment of the fistula. Urinary catheterization in the early postpartum period can result in resolution of post-cesarean section VUF, without delaying surgical intervention if it becomes necessary.

show abstract

A retrovesical approach for the laparoscopic repair of vesicouterine fistulas

Cited by 8 publications

References 14 publications

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre

Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)

Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula

Contact Info

Product

Resources

About