A rare case: Vesicouterine fistula

Abstract

Vesicouterine fistula is a communication between the bladder and the uterus. %1-4 of all urogenital fistulas are vesicouterine fıstulas. The prevalence increase all over the world because of the more frequent use of cesarean section. Cystoscopy, cystography, hysterosalpingography, computed tomography (CT) and magnetic resonance imaging (MRI) are used in diagnosis of vesicouterine fistula. Treatment options of vesicouterine fistulas are various. These are conservative, medical or surgical treatments. Surgery is the mainstay and definitive treatment of vesicouterine fistulas. We presented a vesicouterine fistula case who was treated with open transvesical-transperitoneal technique.

Keywords

• Cesarean, fistula, uterus

Nadir bir vaka: Vezikouterin fistül

Abstract

Vesikouterin fistül mesane ile uterus arasındaki bir oluşumdur. Tüm ürogenital fistüllerin %1-4' ünü oluşturur. Son yıllarda sezaryen ameliyatının sık yapılmasından dolayı prevelansı artmaktadır. Sistoskopi, sistografi, histerosalpingografi, bilgisayarlı tomografi ve manyetik rezonans görüntüleme tanıda kullanılır. Tedavi seçenekleri çeşitli olup; konservativ, medikal ve cerrahi tedavilerdir. Cerrahi temel ve kesin tedavidir. Bu vakada açık transvesical-transperitoneal teknikle tedavi ettiğimiz vaka sunuldu.

Keywords

• Sezaryen, fistül, uterus

References

1. Porcaro AB, Zicari M, Antoniolli SZ, et al. Vesicouterine Fis- tulas Following Cesarean Section. Int Urold Nephrol 2002; 34(3):335-44.
2. Yokoyama M, Arisawa C, Ando M. Successful Management of Vesicouterine Fistula by Luteinizing hormone-releasing hormone analog. Int J Urol 2006; 13(4):457-9.
3. Smayra T, Ghossain MA, Buy JN, Moukarzel M, Jacob D, Truc JB. Vesicouterine Fistulas: Imaging findings in three cases. AJR 2005; 184(1):139-42.
4. Bettez M, Breault G, Carr L, Tu LM. Early Versus delayed of Vesicouterine Fistula. J Can Urol Assoc 2011; 5(4):52-5.
5. Youssed A.F.Menouria following lower segment Cesar- ean section. A Syndrome. Am J Obstet Gynecol 1957; 73(4):759-67.
6. Tarhan F, Erbay E, Penbegül N, Kuyumcuoğlu U. Minimal invasive treatment of vesicouterine fistula: a case report. Int Urol Nephrol 2007; 39(3):791-3.
7. Jozwik M. Clinical classification of vesicouterine fistula. Int J Gynaecol Obstet 2000; 70(3):353-7.
8. Chang-Jackson SC, Acholonu UC Jr, Nezhat FR. Robotic- assisted laparoscopic repair of a vesicouterine fistula. J Soc Laparoendoscopic Surg 2011; 15(3):339-42.

9. Ekinci M, Hoşcan M.B, Tunçkıran A. Pregnancy following spontaneous closure of a vesicouterine fistula. Türk Üroloji Dergisi 2008; 34(3):379-81.