Rare cases of vesicouterine fistula. Issue 5 (27th March 2022)

• Record Type: Journal Article
• Authors: Rahmita, Maulidina Medika; Rodjani, Arry; Wahyudi, Irfan; Widia, Fina
• Is Part Of: LUTS. Volume 14:Issue 5(2022)
• Page Start: 401
• Page End: 404
• Publication Date: 2022-03-27
• Subjects: open surgical repair -- vesicouterine fistula; Urology -- Periodicals; Urologic Diseases -- Periodicals; Urinary Tract Physiological Phenomena -- Periodicals; 616.62
• DOI: 10.1111/luts.12440
• Languages: English
• ISSNs: 1757-5664

Abstract

Abstract: 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.