Vesicouterine tiny fistula 8 years aftera cesarean section –⁠ case report

Czech version

Authors: J. Špaček jr. ¹; P. Navrátil ¹; J. Kestřánek ²; J. Špaček ²; J. Doležal ³; M. Broďák ¹
Authors‘ workplace: Urologická klinika LF UK a FN, Hradec Králové, přednosta doc. MUDr. M. Broďák, Ph. D. ¹; Klinika porodnictví a gynekologie, LF UK a FN, Hradec Králové, přednosta doc. MUDr. J. Špaček, Ph. D., IFEPAG ²; Centrum reprodukčního zdraví – Arleta, Kostelec nad Orlicí, vedoucí lékař MUDr. J. Doležal ³
Published in: Ceska Gynekol 2013; 78(6): 528-530
Category: Original Article

Overview

Objective:
To describe a case of uterovesical fistula after cesarean section with symptoms of vulvovaginal discomfort.

Design:
Case report.

Setting:
Department of Urology, Department of Obstetrics and Gynecology, University Hospital and Medical Faculty in Hradec Kralove, Charles University Prague.

Conclusion:
Uterovesical fistula is a rare and unusual complication of cesarean section. Uterovesical fistula is tough to diagnose because of unspecific symptoms. A multidisciplinary approach is necessary for its successful diagnosis and treatment.

Keywords:
fistula –⁠ operative delivery –⁠ secondary sterility –⁠ vulvovaginal discomfort

Sources

1. Alkatib, M., Franco, AV., Fynes, MM. Vesicouterine fistula following Cesarean delivery –⁠ ultrasound diagnosis and surgical management. Ultrasound Obst Gynecol, 2005, 26, p. 183–185.

2. Al Nuzin, LA., Kattan, S., Mustafa, MS. Vesicouterine fistula after a previous low vertical cesarean section (DeLee incision). Int J Obstet Gynecol, 1996, 55, p. 161–162.

3. Bagis, T., Gubel, S., Egilmez, T., et al. Unusual case of post-cesarean vesicouterine fistula (Youssef´s syndrome). Int J Urol, 2003, 10, p. 236–238.

4. Bettez, M., Breault, G., Carr, L., et al. Early versus delayed repair of vesicouterine fistula. Can Urol Assoc J, 2011, 5(4), p. E52–E55.

5. DiMarco, CS., DiMarco, DS., Klingele, CJ., et al. Vesicouterine fistula: a review of eight cases. Int Urogynecol J Pelvic floor Dysf, 2006, 17, p. 395–399.

6. Ibachie, GC., Njoku O. Vesico-uterine fistula; Br J Urol, 1985, 57, p. 438–439.

7. Mufarrij, PW., Ballert, KN., Nitti, VW. Fistulization between ectopic ureteral stump and uterus following nephroureterectomy: case report. Int Urogynecol J, 2009, 20, p. 1505–1507

8. Špaček, J., Buchta, V., Jílek, P., et al. Vulvovaginální dyskomfort a poruchy poševního prostředí. Praha: Grada Publishing, 2013, p. 271–275.