Vesicouterine Fistula (Laparascopic Repair): A Case Report

Abstract

Vesicouterine fistula (VUF) is a rare variety of female genitourinary fistula. It comprises 1-4% of all urogenital fistulas. Most of these fistulas are due to complications of the lower segment cesarean section (LSCS). The incidence of this fistula is increasing all over the world because of the increasing prevalence of cesarean section. Patients may present with urinary incontinence, hematuria, cyclic menouria, amenorrhea and also first trimester abortions. Two early diagnosis and repair of VUF has become the need of the hour. Different approaches for surgical repair of VUF include transabdominal (including transvesical and transperitoneal); transvaginal approach; laparoscopic and robotic. Laparoscopic VUF repair results in reduced patient morbidity and shorter hospital stay without compromising the results. So laparoscopic repair may be a more attractive treatment option for patients with postcesarean VUF.