Successful management of vesicouterine fistula by luteinizing hormone‐releasing hormone analog

Yokoyama, M; Arisawa, Chizuru; Ando, Masao

doi:10.1111/j.1442-2042.2006.01325.x

Cited by 27 publications

(23 citation statements)

References 8 publications

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“…Graziotti et al [7] reported healing of small immature fistulas discovered soon after the cesarean section by prolonged indwelling catheterization or fistula tract fulguration. Hemal et al [8] and Yokoyama et al [9] reported the successful treatment of some of these fistulas by hormonal induction of menopause using either oral contraceptive pills or GnRH resulting in involution of the puerperal uterus. Lowering the menstrual flow across the fistula tract may be the possible reason for spontaneous healing of the fistula.…”

Section: Discussionmentioning

confidence: 99%

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Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

Hemal

Sharma²,

Mukherjee³

2009

Urol Int

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Objective: To present robotic repair of vesicouterine fistulae (VUF) with and without hysterectomy in 3 cases and to discuss the technique with its outcome. Methods: Three patients were diagnosed with VUF, of whom 2 had a prior history of multiple cesarean sections and 1 had obstructed labor. Preoperative diagnosis of VUF was based on classic history, cystoscopy and imaging studies. All patients underwent pure robotic repair of VUF with hysterectomy in 1 case. The steps of the technique are cystoscopy, bilateral ureteral catheterization, port placement, adhesiolysis, separation of bladder and uterus and excision of the VUF with freshening of margins, closure of the uterus and bladder, hysterectomy in 1 case, and omental interposition. Results: Robotic repair of VUF was successful in all cases with mean operative time of 127.5 min and average blood loss of 120 ml. One patient underwent simultaneous robotic hysterectomy. All patients were ambulatory on day 1 and were discharged on day 3 with indwelling Foley’s catheter, which was removed on day 10. Conclusion: Robotic repair of VUF is safe and effective with successful outcome in all cases and has all the advantages of open and laparoscopic surgery. If required, concomitant robotic hysterectomy can also be performed. This is the first case series in the world.

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Section: Discussionmentioning

confidence: 99%

“…Management options for these fistulae vary from prolonged catheter drainage [7] to hormonal manipulation [8,9] and open surgical and laparoscopic repairs [10][11][12][13][14] . The transabdominal approach is the only way to repair VUF, as it cannot be accessed vaginally.…”

Section: Introductionmentioning

confidence: 99%

Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

Hemal

Sharma²,

Mukherjee³

2009

Urol Int

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“…Other conservative measures include hormonal therapy (eg, medroxyprogesterone, combined oral contraceptives, leuprorelin acetate), which has been used to induce amenorrhea by hormonal manipulation and been found to be an effective, noninvasive, and conservative method of VUF management [20][21][22][23][24]. It is believed that lowering menstrual flow across the fistula allows for healing.…”

Section: Management Of a Vufmentioning

confidence: 99%

Vesicouterine Fistula Following Vaginal Birth After Cesarean in a Woman With Grand Multiparity: A Case Report and Review of the Literature

Smith¹,

Husain²,

Rusilko³

et al. 2010

UIJ

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“…Medical treatment involving the use of hormones to induce amenorrhoea especially for small fistulas has been advocated in the literature [3,15]. Surgery however is the definitive treatment of vesicouterine fistula [3].…”

Section: Previous Cs No Previous Cs Totalmentioning

confidence: 99%

“…Conservative treatment entails the use of indwelling catheter immediately following delivery. Medical treatment involves the use of hormones to induce amenorrhoea especially for small fistulas [3,15]. Surgery is definitive and involves vaginal, transvesical, transperitoneal and laparoscopic approaches [3].…”

Section: Introductionmentioning

confidence: 99%

Review of Vesicouterine Fistula at the National Obstetric Fistula Centre,\ Abakaliki, Nigeria

Daniyan¹,

Adeoye²

2016

Gynecol Obstet

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Background: Vesicouterine fistula is a rare type of genital fistula. It is a cause of urinary incontinence in our environment. It usually results from caesarean section. The study was undertaken to document our experience in the management of this condition.Methodology: This is a retrospective study carried out at the National Obstetric Fistula Centre, Abakaliki, Nigeria from January 2013 to October 2015. Records of women with vesicouterine fistula were retrieved. Information on age, parity, predisposing factors, aetiology, presentation, diagnosis, management and outcomes of repair were obtained. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 20.Results: Vesicouterine fistula was seen in 13 out of 619 women constituting 2.1% of all genital fistulas. The mean age of the women was 37.4 ± 9.9 years with 53.5% of them between 30-39 years. Of the 12 women who had term pregnancies, 3 (25%) had no previous caesarean section, 4 (33.3%) had 1 previous caesarean section and 5 (41.7%) had 2 previous caesarean sections making previous caesarean section a predisposing factor in 75% of cases. Fistula occurred following caesarean section in 7 women (53.8%), vaginal delivery in 4 (30.8%), exploratory laparotomy due to uterine rupture in 1 (7.7%) and dilatation and curettage in 1 (7.7%). All 4 women whose fistula followed vaginal delivery had previous caesarean section. All the 13 women presented with menouria. Two (15.4%) had menouria only while11 (84.6%) had menouria with urinary incontinence. In 6 women (46.2%), diagnosis was clinical. Hysterosalpingogram was employed in 1 patient. All the women had surgical repair via the retropubic extraperitoneal approach. Fistula was closed in all 13 women. Conclusion:Vesicouterine fistula is uncommon and usually follows caesarean section. Previous caesarean section is an important predisposing factor. It presents commonly as menouria and urinary incontinence. Outcomes of repair are excellent.

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Successful management of vesicouterine fistula by luteinizing hormone‐releasing hormone analog

Cited by 27 publications

References 8 publications

Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

Robotic Repair of Complex Vesicouterine Fistula with and without Hysterectomy

Vesicouterine Fistula Following Vaginal Birth After Cesarean in a Woman With Grand Multiparity: A Case Report and Review of the Literature

Review of Vesicouterine Fistula at the National Obstetric Fistula Centre,\ Abakaliki, Nigeria

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