Vesicocervical fistula: Rare complication of cesarean section demonstrated by magnetic resonance imaging

Dudderidge, Tim; Haynes, Shelley V.Z.; Davies, A J W; Jarmulowicz, Michael; Al-Akraa, Mahmoud

doi:10.1016/j.urology.2004.07.001

Cited by 12 publications

(9 citation statements)

References 9 publications

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“…Vesicervical fistula is an extremely rare complication occurring only in l-4% of all urogenital fistulas. of these, only 0.1-l.5% is seen after gynaecological operations 7 . But it is still frequently found in developing countries 8 .…”

Section: Discussionmentioning

confidence: 96%

“…In the form of stress urinary incontinence it is a common health problem among middle-aged women 6,7 . However, true incontinence due to vesico vaginal or vesico uterine fistulae is not so common.…”

Section: Discussionmentioning

confidence: 99%

“…Such type of fistulas causes mental and physical distress to the patient, very often resulting in marital disharmony and her being a social outcast. Surgery has so far been the gold standard of treatment for this condition but there is a discouraging failure rate also 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Most vesicervical fistulas are complications of caesarean section with symptoms of urinary incontinence 7,9,10 . Other possible causes include rupture of the lower uterine segment and bladder due to a traumatic forceps delivery, tuberculosis of the bladder and a perforation of an intrauterine contraceptive device into the bladder 6,7 .…”

Section: Discussionmentioning

confidence: 99%

“…Other possible causes include rupture of the lower uterine segment and bladder due to a traumatic forceps delivery, tuberculosis of the bladder and a perforation of an intrauterine contraceptive device into the bladder 6,7 . The presentation of a vesico uterine or vesico cervical fistula would largely depend on the level of the fistula and can be explained by the sphincteric mechanism of the uterine isthmus and the different pressure gradients 11 .…”

Section: Discussionmentioning

confidence: 99%

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Vesicocervical Fistula: A Rare Complication of Lower Segment Caesarean Section

Tayade¹,

Kumar²,

Shivkumar³

2012

Int Jour of Biomed Res

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Vesico -cervical fistula is very rare accounting for approximately 4% of all urogenital fistulas. Vesico vaginal fistulas are commoner and usually follow prolonged obstructed labour and pelvic surgery. The woman may present with urinary incontinence, menouria and/ or amenorrhoea. Locating the exact site of the fistula may be difficult and surgical procedure depends on the same. A case of vesico cervical fistula following lower segment caesarean section is reported, thus highlighting the risks associated with caesarean section.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Vesicocervical Fistula: A Rare Complication of Lower Segment Caesarean Section

Tayade¹,

Kumar²,

Shivkumar³

2012

Int Jour of Biomed Res

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Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

Bonavina,

Busnelli,

Acerboni

et al. 2023

Intl J Gynecology & Obste

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BackgroundVesicouterine fistula (VUF) is a iatrogenic injury in the vast majority of cases. The worldwide increase of cesarean delivery rates is expected to lead to increased complications.ObjectivesTo assess current evidence on VUF pathogenesis and surgical management.Search StrategyPubmed and Embase databases were searched from January 2000 to January 2023 using relevant key words.Selection CriteriaOnly original articles including either transabdominal or transvaginal surgical routes for post‐cesarean VUF repair, in English language, were included.Data Collection and AnalysisTwo authors independently screened the references for eligibility, data extraction, and assessment of methodologic quality. All available surgical outcomes were recorded.Main ResultsOf the 1160 studies retrieved, 67 were selected for analysis. Most of these were case reports, case series, or observational cohort studies including a total of 284 patients. The majority (78.6%) of patients had more than one cesarean section, and approximately 10% of them experienced an overt bladder injury and/or uterine rupture at the time of cesarean delivery. The supratrigonal part of the bladder was most commonly involved (92.5%). The majority of patients (88.8%) underwent delayed VUF repair through laparotomy. Length of stay and blood loss were significantly less in patients treated via a minimally invasive approach (P < 0.001 and P = 0.02, respectively). Most patients had double‐layer bladder repair and single‐layer uterine repair. The overall success rate was 100% on first attempt for each independent combination of different surgical approaches and techniques. Live birth following VUF repair was reported in 23 patients.ConclusionsPaying close attention to surgical details is crucial to reduce the incidence of this complication and recurrence rates. Double‐layer bladder closure and delayed timing of repair of VUF are recommended.

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Vesicocervical fistula: rare complication secondary to intrauterine device (Lippes loop) erosion

2015

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We report a case of vesicocervical fistula following intrauterine device (Lippes loop) erosion following insertion 45 years ago. Vesicocervical fistula was suspected clinically. Ultrasound and magnetic resonance imaging confirmed the presence of a foreign body. Biopsy and magnetic resonance imaging were performed to rule out malignancies of the urogenital tract. The fistula was managed by laparotomy, hysterectomy, and bladder flap closure. We report this case because of its rarity.

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Vesicocervical fistula: Rare complication of cesarean section demonstrated by magnetic resonance imaging

Cited by 12 publications

References 9 publications

Vesicocervical Fistula: A Rare Complication of Lower Segment Caesarean Section

Vesicocervical Fistula: A Rare Complication of Lower Segment Caesarean Section

Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention

Vesicocervical fistula: rare complication secondary to intrauterine device (Lippes loop) erosion

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