Treatment of Vesicouterine Fistula by Fulguration

Molina, Louis; Lynne, Charles M.; Politano, Víctor A.

doi:10.1016/s0022-5347(17)41333-4

Cited by 35 publications

(23 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cystoscopic fulguration of the vesicouterine fistula has been reported, with variable results [31,32]. Fulguration that is originally used for the treatment of vesicovaginal fistula is thought to be more suitable for vesicouterine fistula, as the uterine wall is thicker and the blood supply better than in the former situation [31].…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Vesicouterine fistula: An updated review

Yip

Leung

1998

Int Urogynecol J

View full text Add to dashboard Cite

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.

show abstract

Section: Treatmentmentioning

confidence: 99%

“…Fulguration that is originally used for the treatment of vesicovaginal fistula is thought to be more suitable for vesicouterine fistula, as the uterine wall is thicker and the blood supply better than in the former situation [31]. The procedure is also simple and has low postoperative morbidity [31 ].…”

Section: Treatmentmentioning

confidence: 99%

Vesicouterine fistula: An updated review

Yip

Leung

1998

Int Urogynecol J

View full text Add to dashboard Cite

show abstract

“…7 While there are not established methods to follow up vesicouterine fistula after hormonal therapy, we performed cystoscopy 3 months after the completion of the treatment because the resolution of the clinical symptom, that is menstruation without hematuria, was confirmed at that time. If hormonal therapy had failed, and menouria had recurred, we would have had to consider surgical treatment including less invasive procedures such as endoscopic fulguration, 8 which obtains spontaneous closure by destroying the ectopic endometrium of an established fistulous tract as hormonal therapy by the ectopic endometrial atrophy, or laparoscopic surgery. 2 Ten cases of vesicouterine fistula treated successfully by hormonal therapy, including the present case, were identified in the literature 2,5 ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

Successful management of vesicouterine fistula by luteinizing hormone‐releasing hormone analog

Yokoyama¹,

Arisawa²,

Ando³

2006

Int J of Urology

View full text Add to dashboard Cite

Vesicouterine fistula is a rare complication of cesarean section. Although surgical repair was mandatory for the management of the fistula previously, a recent review showed high efficacy of hormonal manipulation by the induction of amenorrhea. Herein, we report a new case of vesicouterine fistula secondary to cesarean section successfully treated by luteinizing hormone-releasing hormone analog for 6 months. Conservative hormonal treatment for vesicouterine fistula caused by cesarean section should be considered before surgical repair.

show abstract

“…Over the years, there have been varied approaches to the treatment of this condition. Simple observation when the patient refuses treatment [3], hor monal treatment [8], fulguration [9], conservative treat ment when recognized in the immediate postoperative period by continuous closed drainage of the bladder with care of infection and surgical treatment [1,3] are various techniques described in the literature. Hormonal treat ment should be tried first in Youssefs syndrome (since there is urinary continence) [8], before resorting to sur gery.…”

Section: Discussionmentioning

confidence: 99%

Youssef’s Syndrome: An Appraisal of Hormonal Treatment

Hemal¹,

Wadhwa²,

Kriplani³

et al. 1994

Urol Int

View full text Add to dashboard Cite

Two cases of vesicouterine fistula, caused by lower-segment cesarean section, are presented. Both cases had classical symptoms of Youssef’s syndrome, i.e. cyclic hematuria, absence of vaginal bleeding and complete urinary continence. These patients were treated by the continuous administration of an estrogen-progestogen combination for 6 months. However, it failed in 1 case requiring transabdominal transperitoneal closure of the fistula with an interposition of omentum. We feel that hormonal treatment may be tried as first modality in the treatment of Youssef’s syndrome, before resorting to surgery.

show abstract

Treatment of Vesicouterine Fistula by Fulguration

Cited by 35 publications

References 3 publications

Vesicouterine fistula: An updated review

Vesicouterine fistula: An updated review

Successful management of vesicouterine fistula by luteinizing hormone‐releasing hormone analog

Youssef’s Syndrome: An Appraisal of Hormonal Treatment

Contact Info

Product

Resources

About