Early versus delayed repair of vesicouterine fistula

Authors

  • Mathieu Bettez The Urology Division, Department of Surgery, University of Sherbrooke, Sherbrooke, QC
  • Guy Breault The Urology Division, Department of Surgery, University of Moncton, Hôpital Régional Georges L. Dumont, Moncton, NB
  • Lesley Carr The Urology Division, Department of Urogynecology, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON
  • Le Mai Tu The Urology Division, Department of Surgery, University of Sherbrooke, Sherbrooke, QC

DOI:

https://doi.org/10.5489/cuaj.671

Abstract

Vesicouterine fistulas (VUF) are a pathological and uncommon
connection between the uterus and the bladder. Although rare,
they are usually related to cesarean section. Nowadays, their
incidence increases because of the increase in Cesarean sections.
Patients with VUF may have various clinical presentations. The
main symptoms are urinary incontinence, which may be associated
with hematuria. Vesicouterine fistulas are usually associated with
psychological distress and have a negative effect on quality of life.
The accurate and early diagnosis of VUF can be difficult. There are
multiple ways to investigate VUF and several examinations may be
required to confirm the diagnosis; these examinations may include
a cystoscopy, a retrograde cystography, methylene blue test and a
computed tomography scan. We present 3 cases of vesicouterine
fistula with successful surgical repair in which 2 patients had an
early repair. One patient had an early surgical repair because of
intractable pain and the other patient because of the large size
of the fistula. The fistula repair surgeries were uneventful and
the patients had an unremarkable recovery. We report that early
surgical management is technically feasible without significantly
increasing the difficulty of the surgery, with an excellent outcome
in selected patients.

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Author Biographies

Mathieu Bettez, The Urology Division, Department of Surgery, University of Sherbrooke, Sherbrooke, QC

Guy Breault, The Urology Division, Department of Surgery, University of Moncton, Hôpital Régional Georges L. Dumont, Moncton, NB

Lesley Carr, The Urology Division, Department of Urogynecology, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON

Le Mai Tu, The Urology Division, Department of Surgery, University of Sherbrooke, Sherbrooke, QC

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How to Cite

Bettez, M., Breault, G., Carr, L., & Tu, L. M. (2013). Early versus delayed repair of vesicouterine fistula. Canadian Urological Association Journal, 5(4), E52-E55. https://doi.org/10.5489/cuaj.671

Issue

Vol. 5 No. 4 (2011): August

Section

Case Report

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