Vesicouterine fistula: teaching video on diagnosis and surgical treatment

Marín-Sánchez, Pilar; Sánchez-Ferrer, María Luisa; Garrido-Navarro, Clara; Prieto-González, A.; Machado-Linde, Francisco

doi:10.1007/s00192-016-3198-y

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…[ 2 ] Treatment options include conservative treatment, laparoscopic repair or laparotomy depending on the location and size of fistula. [ 3 ] Therefore, accurate delineation of the fistula tract plays a vital role in the treatment of VUF. [ 2 ] We herein report a patient with VUF in whom the diagnosis was established by intravesical contrast-enhanced ultrasound (CEUS) using SonoVue.…”

Section: Introductionmentioning

confidence: 99%

Intravesical contrast-enhanced ultrasound (CEUS) for the diagnosis of vesicouterine fistula (VUF)

Sun¹,

Cui

Zhang³

et al. 2018

Medicine

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Background:Vesicouterine fistula (VUF) is a very rare type of urogenital fistula, the incidence of which has increased in recent years due to increased cesarean section deliveries and other pelvic surgeries. The clinical diagnosis of VUF is typically challenging.Case:A 31-year-old woman who presented with fever, increase urine frequency, and urinary incontinence at night, along with occasional vaginal discharge after cesarean section. The VUF was misdiagnosed on conventional ultrasound, but was successfully diagnosed by using intravesical contrast-enhanced ultrasound (CEUS) using SonoVue, which was confirmed by the subsequent cystoscopy.Conclusion:Intravesical CEUS provides a new effective method for diagnosing VUF, which may become the first choice for diagnosing urogenital fistulas.

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Section: Introductionmentioning

confidence: 99%

Intravesical contrast-enhanced ultrasound (CEUS) for the diagnosis of vesicouterine fistula (VUF)

Sun¹,

Cui

Zhang³

et al. 2018

Medicine

View full text Add to dashboard Cite

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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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Vaginal repair of a vesicocervical fistula after labored-cesarean delivery without concomitant hysterectomy

2017

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Vesicouterine fistula: teaching video on diagnosis and surgical treatment

Abstract: Six months following surgery, the results were entirely satisfactory, with full urinary continence and significant improvement in the patient's quality of life. A discussion about controversial approaches to diagnosis and management is included.

Cited by 3 publications

References 9 publications

Intravesical contrast-enhanced ultrasound (CEUS) for the diagnosis of vesicouterine fistula (VUF)

Intravesical contrast-enhanced ultrasound (CEUS) for the diagnosis of vesicouterine fistula (VUF)

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

Vaginal repair of a vesicocervical fistula after labored-cesarean delivery without concomitant hysterectomy

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