[Vesicouterine fistula. Our experience of 25 years].

Abstract:

OBJECTIVE:To determine the current state of vesicouterine fistulae in our hospital, the factors associated with their development and the findings obtained from the treatments used. MATERIAL AND METHODS:We carry out a retrospective study on a group of patients suffering from vesicouterine fistulae who were treated in our service for the last 25 years with a 2 year minimum follow-up. RESULTS:6 cases of vesicouterine fistulae were evaluated. In 83.3% (5/6) of the cases occurred following caesarean section. The average age of the patients was 36.5 years old. In 50% of the cases, urinary incontinence immediately after surgery determined an early diagnosis. In 5 patients deferred abdominal surgical approach was carried out. All of the patients remained asymptomatic during the follow-up years. Two pregnancies were recorded 24 months after repair with a full term delivery. CONCLUSIONS:The vesicouterine fistula, despite being infrequent, is no longer an exceptional diagnosis. Currently, the low segmentarian caesareans constitute the major isolated risk factor for fistula development. We recommend a deferred surgical repair without discarding a conservative approach for those cases of small and early fistula.

journal_name

Actas Urol Esp

authors

Bonillo García MA,Pacheco Bru JJ,Palmero Martí JL,Alapont Alacreu JM,Alonso Gorrea M,Arlandis Guzmán S,Jiménez Cruz JF

doi

10.1016/s0210-4806(03)73000-9

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

707-12

issue

9

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(03)73000-9

journal_volume

27

pub_type

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