Early Robotic Repair of Vesicouterine Fistula: A Case Report and Literature Review

Sdralis

Case Reports in Obstetrics and Gynecology

et al. 2018

Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion. Quality of life (QoL) for patients having this pathology is strongly affected due to the psychological burden. Surgical excision of the fistula remains the mainstay of treatment, as less than 5% of patients respond to conservative therapy. Recently laparoscopic and robotic-assisted VUF repair started gaining ground with comparable results to open surgery. Herein, we presented the successful delayed surgical repair of VUF in a 32-year-old female patient. A review of the published literature was also performed, summarizing all the available evidence regarding this rare clinical entity.

Section: Discussionmentioning

confidence: 99%

Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature

Sdralis

Case Reports in Obstetrics and Gynecology

et al. 2018

“…Mit 1 -4 % stellt sie die seltenste Form aller urogenitalen Fisteln dar. Die Inzidenz ist bei jungen Frauen im Alter von 25 bis 30 Jahren am höchsten [1,2,4,5].…”

Section: Diskussionunclassified

“…B. während einer Vaginalgeburt, spontan rupturieren kann. Die passive Drucktransmission verursacht scherende Läsionen der adhärenten Harnblasenhinterwand, die in subsequenter Fistelung resultieren können[2].Zu den einhergehenden frühpostoperativen Symptomen im Falle einer direkten Läsion der Harnblase gehören Makrohämaturie, Urinleckage durch die Zervix, Dysurie, unspezifische Unterbauchschmerzen oder Urosepsis (durch Bakterieneinschwemmung in den Uterus). Andererseits treten die Symptome im Falle einer schleichenden Bildung einer VUF erst nach einigen Monaten auf.…”

unclassified

Vesicouterine Fistel nach Sectio caesarea

et al. 2018

Vesicouterine fistulas (VUFs) are a pathological communication between uterus and urinary bladder, which are mainly related to iatrogenic lesions during caesarean sections or occur during vaginal deliveries after a previous caesarean section. The main symptoms are menstruation through the bladder (menouria), amenorrhea and urinary incontinence. Treatment can be conservative, hormonal or surgical; however, a spontaneous closure of the fistula is rare (5 %). We report a case of a female VUF with menouria after caesarean section with a successful surgical fistula excision. Based on this case report, we analyse the causes, symptoms, diagnostics and treatment of VUF as reported in the literature.

International Journal of Surgery Case Reports

“…VUF refers to a pathological communication between the bladder and uterus or cervix. This is a rare case and is estimated to account for l–4% cases of all urogenital fistulas [ 4 ]. It is usually a consequence of iatrogenic injury instigated through pelvic surgery.…”

Section: Introductionmentioning

confidence: 99%

Vesicouterine fistula presenting with cyclical haematuria mimicking bladder endometriosis: A case report

Harzif

Maidarti

Ginanjar

et al. 2021

Highlights Vesicouterine fistula is pathological communication between the bladder and uterus or cervix. Symptoms of VUF were secondary amenorrhea and cyclic hematuria with history of previous cesarean section (concluded as Youssef’s syndrome). Surgical approach is contemplated as definitive management of the VUF following caesarean section. A group of women was able to have normal period after fistula repair.