Uterovesicovaginal fistula following placenta percreta: case review and management options

Abstract

We report case of uterovesicovaginal fistula following caesarean section with review of management options. The case presented with continuous dribbling of urine with cyclical menouria immediately following dilatation and curettage for retained placental bits. Cystosco - py along with hysteroscopy and methylene blue instillation through the cervix confirmed the diagnosis. Patient was put on prolonged bladder drainage for three months. The fistulas healed spontaneously requiring no further surgical management. All over the world prevalence of the utero-vesical fistula is increasing with frequent use of caesarean section

Trends in the aetiology of urogenital fistula: a case of ‘retrogressive evolution’?

“…Given the technical difficulties of surgery in these circumstances, we might also anticipate a progressive increase in the rate of fistula following caesarean section. Although the association has been reported [ 37 ], a trend is not yet evident, and in the author’s own series from the UK, fistula following caesarean section or trial of attempted vaginal birth after caesarean have consistently represented 6 – 8 % of cases referred over the last three decades [ 38 ].…”