Vesicouterine fistula as a complication of forceps delivery: a case report

Nouira, Yassine; Feki, W; Rhouma, Sami Ben; Salah, Imed Ben; Horchani, Ali

doi:10.1007/s00192-005-1288-3

Cited by 7 publications

(6 citation statements)

References 16 publications

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“…VUF has been reported to follow pelvic trauma, instrumental deliveries, vaginal birth after a previous cesarean section, pelvic irradiation or following a transmigration of an intrauterine contraceptive device. [8][9][10][11][12][13] It may also occur in association with uterine artery embolization, bladder endometriosis or placenta percreta. [14][15][16] Spontaneous intrapartum VUF has also been reported.…”

Section: Discussionmentioning

confidence: 99%

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

Ikechebelu

Ugboaja

Okeke

2011

J of Obstet and Gynaecol

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Vesicouterine fistula (VUF) is a rare complication of cesarean section. We present two cases of VUF that were successfully managed by transperitoneal surgical repair. The first case presented with the Youssef classical triad: cyclical hematuria (menouria), amenorrhea and urinary continence, while the second case presented with total urinary incontinence with normal menstruation. In both cases, diagnosis was confirmed by hysterogram and both were managed by transperitoneal surgical repair. The clinical features, etiologic factors, diagnostic procedures and treatment modalities are discussed in relation to the case and others as reported in the literature.

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Section: Discussionmentioning

confidence: 99%

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

Ikechebelu

Ugboaja

Okeke

2011

J of Obstet and Gynaecol

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“…Other cases include rare obstetric injuries, e.g. uterine rupture during vaginal birth, particularly after previous Caesarean, or with the use of forceps [8,9]. Very rarely, VUFs Authors from Serbia present a retrospective review of their experience in the treatment of the uncommon condition of vesicouterine fistula.…”

Section: Introductionmentioning

confidence: 99%

Vesico‐uterine fistula: report of 14 cases

2007

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Authors from Serbia present a retrospective review of their experience in the treatment of the uncommon condition of vesico‐uterine fistula. They discovered 14 such cases, and present the results of surgery, with advice on how to optimise the results. OBJECTIVE To analyse the indications, diagnosis, major causes and basic principles of surgical treatment of vesico‐uterine fistulas (VUF). PATIENTS AND METHODS From 1970 to 2006, 14 patients underwent surgical repair of VUF in two Belgrade hospitals. The most common cause of a fistula was previous Caesarean section (13/14). The mean (range) age was 27 (22–38) years. Five women underwent transvesical fistula suture, and nine underwent a transperitoneal surgical approach with the interposition of a tissue flap; an omental flap in five and a peritoneal flap in four. RESULTS The mean (range) duration of surgery was 85 (70–120) min. The mean hospital stay was 14 (12–22) days. The urethral catheter was removed 10 days after surgery. One woman with no tissue flap repair relapsed and none of the women with a tissue flap repair relapsed. After surgery, eight patients became pregnant and underwent Caesarean section. CONCLUSION Successful closure of VUF requires accurate diagnostic evaluation, appropriate repair using techniques that utilize basic surgical principles, and the careful application of interposing tissue flaps.

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“…VUF has been described following dystocic vaginal deliveries. It occurs in patients with a scarred uterus or after instrumental extraction [1,3,21,22]. The posterior wall of the bladder becomes progressively devitalized due to changes in the vascular network at the scar of the first operation.…”

Section: Discussionmentioning

confidence: 99%

Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study

Ouédraogo¹,

Kirakoya²,

Kaboré³

et al. 2021

Société Internationale D’Urologie Journal

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Objective: To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso. Patients and Methods: We performed a retrospective, descriptive, and multicentric study based on the medical records of women treated for VUF from January 2010 to December 2016. Results: VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64 years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula. Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with a vesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%. Conclusion: VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence remains Caesarean section. The best treatment remains prevention.

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Vesicouterine fistula as a complication of forceps delivery: a case report

Cited by 7 publications

References 16 publications

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

Post‐cesarean vesicouterine fistula (Youssef syndrome): Report of two cases

Vesico‐uterine fistula: report of 14 cases

Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study

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