Postcesarean Vesico‐Uterine Fistula

Kihl, Björn; Nilson, A. E.; Pettersson, S.

doi:10.3109/00016348009155412

Cited by 24 publications

(15 citation statements)

References 7 publications

(4 reference statements)

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“…More recently, the unidirectional flow has been explained merely by the pressure gradient that exists between the uterine body and the bladder in the presence of an intact cervix. 8,9 Our findings support this theory. The treatment of choice until recently has been surgical closure of the fistula, sometimes combined with total abdominal hysterectomy.…”

Section: Discussionsupporting

confidence: 85%

A Case Of Uterovesical Fistula (Youssef'S Syndrome) Following Lower Segment Cesarean Section

1983

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Section: Discussionsupporting

confidence: 85%

A Case Of Uterovesical Fistula (Youssef'S Syndrome) Following Lower Segment Cesarean Section

1983

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Section: Symptomatologymentioning

confidence: 92%

“…However, this hypothesis has been challenged in recent reports [5,21,22]. It has been postulated [22] that the pressure difference between the uterine cavity and the bladder cavity governs the flow of urine or menstrual blood through the fistula. Normally the intravesical pressure rarely exceeds 20 cmH20 during the filling phase, but it can go up to 30-50 cmH20 during micturition, whereas the intrauterine pressure varies from 35 to 70 cmH20 in the proliferative phase of the menstrual cycle, to up to 160 cmH20 during menstruation.…”

Section: Symptomatologymentioning

confidence: 92%

“…A simple bedside test, such as the three-swab test, demonstrates dye leaking from the cervical os after injection into the bladder, suggesting the presence of a vesicouterine fistula. More sophisticated tests, such as cystometrography or hysterography, can be used to demonstrate the presence and the anatomical site of fistula, but a false negative result may be obtained if the pressure of contrast injection is not adequate and the patent fistulous tract is not being forced open [22]. Cystoscopic examination with probing gives a clear picture and can identify the site of the fistula and its relationship with the ureteric orifices.…”

Section: Diagnosismentioning

confidence: 99%

See 1 more Smart Citation

Vesicouterine fistula: An updated review

Yip

Leung

1998

Int Urogynecol J

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To ascertain the condition of vesicouterine fistula, a search of the medical literature using the Ovid version (Ovid Technologies Inc., New York, USA) of Medline (1966-1997) was undertaken, using the keywords vesicouterine, vesico-uterine, uterovesico, and utero-vesico fistula. A search of the earlier medical literature was by cross-referencing and is likely to be less complete than the computerized database. Nonetheless, the authors believe the most relevant publications were cited. On reviewing the subject it was noticed that there had been a change in obstetric practice between the first and the latter half of this century, namely an increase in the incidence of cesarean deliveries. However, the literature contains relatively little information on pathophysiology, possibly owing to the relative rarity of the lesion. Emphasis has been given to the most recent 10 years (1987-1997) in order to update the etiology, diagnosis and management of this clinical condition.

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“…The rarity of incontinence in these patients is due to cervical isthmic sphincter, which maintains sufficient pressure to force the menstrual blood to flow into the bladder and prevent urinary leakage [12] .…”

Section: Discussionmentioning

confidence: 99%

Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

Hemal

Sharma²,

Mukherjee³

2009

Urol Int

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Objective: To present robotic repair of vesicouterine fistulae (VUF) with and without hysterectomy in 3 cases and to discuss the technique with its outcome. Methods: Three patients were diagnosed with VUF, of whom 2 had a prior history of multiple cesarean sections and 1 had obstructed labor. Preoperative diagnosis of VUF was based on classic history, cystoscopy and imaging studies. All patients underwent pure robotic repair of VUF with hysterectomy in 1 case. The steps of the technique are cystoscopy, bilateral ureteral catheterization, port placement, adhesiolysis, separation of bladder and uterus and excision of the VUF with freshening of margins, closure of the uterus and bladder, hysterectomy in 1 case, and omental interposition. Results: Robotic repair of VUF was successful in all cases with mean operative time of 127.5 min and average blood loss of 120 ml. One patient underwent simultaneous robotic hysterectomy. All patients were ambulatory on day 1 and were discharged on day 3 with indwelling Foley’s catheter, which was removed on day 10. Conclusion: Robotic repair of VUF is safe and effective with successful outcome in all cases and has all the advantages of open and laparoscopic surgery. If required, concomitant robotic hysterectomy can also be performed. This is the first case series in the world.

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Postcesarean Vesico‐Uterine Fistula

Cited by 24 publications

References 7 publications

A Case Of Uterovesical Fistula (Youssef'S Syndrome) Following Lower Segment Cesarean Section

A Case Of Uterovesical Fistula (Youssef'S Syndrome) Following Lower Segment Cesarean Section

Vesicouterine fistula: An updated review

Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

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