Consider the Risk of Vesicouterine Fistula in the Event of Intermittent Fluid Vaginal Discharge after a Cesarean Section

Talla, Pascal; Ekotomati, Maria; Brunisholz, Yves; Joliniere, J. Bouquet De; Fagan, Bernice; Féki, Anis; Ali, Nordine Ben

doi:10.3389/fsurg.2017.00058

Cited by 10 publications

(9 citation statements)

References 27 publications

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“…Endometriosis, uterine artery embolization, and radiotherapy can also cause VUF. 1,2 From 2015 to 2019, four VUF cases were reported at Urology Department, Cipto Mangunkusumo National Hospital. Although most VUF patients are asymptomatic, all of our cases had urinary incontinence.…”

Section: Discussionmentioning

confidence: 99%

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Rare cases of vesicouterine fistula

Rahmita

Rodjani

Wahyudi

et al. 2022

LUTS

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Case Vesicouterine fistula (VUF) is the rarest form of genitourinary fistulas. As lower‐segment cesarean section becomes a more common mode of delivery, they have become the leading cause of VUF formation. We present four VUF patients with varied symptoms such as menouria, amenorrhea, with or without urinary incontinence. We diagnosed all of our cases through cystoscopy in conjunction with methylene blue dye test or hysteroscopy. Outcome We successfully repaired VUF in three open surgery instances and one laparoscopic case. To diagnose VUF, cystoscopy and hysteroscopy are still the gold standard. An expert surgeon's open or laparoscopic repair is effective and safe. The patients no longer experienced incontinence, cyclical hematuria (menouria), discomfort, or sexual dysfunction. Conclusion Cystoscopy and hysteroscopy remain the gold standard tool in diagnosing VUF. Open or laparoscopic repair performed by an experienced surgeon is an effective and safe technique with a successful outcome.

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Section: Discussionmentioning

confidence: 99%

“…Vesicouterine fistulas (VUF) are the rarest type of urogenital fistulas. They occur in 2%–9% of urogenital fistulas 1,2 . Vesicovaginal fistulas (VVF) are more prevalent than VUF in Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.…”

Section: Introductionmentioning

confidence: 99%

Rare cases of vesicouterine fistula

Rahmita

Rodjani

Wahyudi

et al. 2022

LUTS

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“…The presence of fistula in our patient was first suspected through transvaginal sonography that was then discerned by HSG and cystoscopy [ 8 ]. However, in some instances, when 2D ultrasonography and cystoscopy are not able to differentiate the presence of fistulous tract, intravesical contrast-enhanced ultrasound (CEUS) can be an alternative option [ 18 ]. The best imaging that can be used to evaluate VUF are computed tomography (CT) or pelvic MRI, but due to budgeting and resources limitation the examination was not performed to this patient [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Vesicouterine fistula presenting with cyclical haematuria mimicking bladder endometriosis: A case report

Harzif

Maidarti

Ginanjar

et al. 2021

International Journal of Surgery Case Reports

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Highlights Vesicouterine fistula is pathological communication between the bladder and uterus or cervix. Symptoms of VUF were secondary amenorrhea and cyclic hematuria with history of previous cesarean section (concluded as Youssef’s syndrome). Surgical approach is contemplated as definitive management of the VUF following caesarean section. A group of women was able to have normal period after fistula repair.

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“…The clinical manifestations vary from cyclic hematuria (menouria), amenorrhea, vaginal leakage of urine, with or without urinary incontinence, and recurrent urinary tract infections associated with low-grade pyrexia to secondary infertility and first-trimester abortion [ 1 , 2 , 4 – 6 ]. Various imaging procedures have been found useful.…”

Section: Discussionmentioning

confidence: 99%

“…In this way, surgery should be considered the mainstay of treatment in the majority of patients. In addition, many different approaches have been advocated (transperitoneal, transvesical, and transvaginal), along with different surgical techniques of repair (open, conventional laparoscopy, laparoendoscopic single-site surgery, robotic-assisted) [ 1 , 6 , 7 ]. Hysterectomy is warranted in cases of multiparous women around perimenopause and those having uterine pathology [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature

Symeonidis

Sdralis

Symeonidis

et al. 2018

Case Reports in Obstetrics and Gynecology

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Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion. Quality of life (QoL) for patients having this pathology is strongly affected due to the psychological burden. Surgical excision of the fistula remains the mainstay of treatment, as less than 5% of patients respond to conservative therapy. Recently laparoscopic and robotic-assisted VUF repair started gaining ground with comparable results to open surgery. Herein, we presented the successful delayed surgical repair of VUF in a 32-year-old female patient. A review of the published literature was also performed, summarizing all the available evidence regarding this rare clinical entity.

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Consider the Risk of Vesicouterine Fistula in the Event of Intermittent Fluid Vaginal Discharge after a Cesarean Section

Cited by 10 publications

References 27 publications

Rare cases of vesicouterine fistula

Rare cases of vesicouterine fistula

Vesicouterine fistula presenting with cyclical haematuria mimicking bladder endometriosis: A case report

Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature

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