Post-cesarean vesicouterine fistulae: A report on a case and an update of the literature - Abstract

Vesicouterine fistula (VUF) is an abnormal communication between the posterior wall of the bladder and the anterior wall of the uterus.

Although it represents only 1 to 4% of all urogenital fistulae, its prevalence is increasing all over the world because of the large indications of cesarean section. VUF usually presents with urine leak, amenorrhoea, and cyclic hematuria. It has a considerable marital and social impact and may cause serious urogenital infections. Herein we report on one more case of VUF following cesarean section with review and update of the recent literature regarding the aetiological, diagnostic, and therapeutic aspects of this entity. Some suggestions are mentioned concerning surgical repair and how to minimize their occurrence.

KEYWORDS: Vesicouterine fistula, cesarean section, surgery, prevention

CORRESPONDENCE: Benatta Mahmoud, MD, Department of Urology, Ehu Oran, Oran, Algeria ().

CITATION: UroToday Int J. 2012 August;5(4):art 28.

doi: http://dx.doi.org/10.3834/uij.1944-5784.2012.08.01