A case of vesicouterine fistula with blind vagina following cesarean section for obstructed labor is presented. It was surgically treated by fistulectomy, cervicoplasty and maintenance of bladder and cervical patency by catheterization. Intrauterine synechiae formation was prevented by copper T insertion and oral contraceptive pills. The patient is making uneventful asymptomatic progress planning to conceive.
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Iatrogenic Female Genitourinary Fistula in Uganda: Etiology, Twelve-Year Trends, and Risk Factors for Development Following Cesarean Section.
Int J Womens Health
November 2024
Department of Obstetrics and Gynecology, Mbarara University of Science and Technology, Faculty of Medicine, Mbarara, Uganda.
Purpose: To describe the magnitude and trend of the iatrogenic genitourinary fistula in Uganda, and the risk factors for development following the Cesarean Section (CS).
Methods: A retrospective review of charts of women with a confirmed diagnosis of genitourinary fistula at four regional fistula repair sites in Uganda between 2010 and 2021 was conducted. A fistula was classified as iatrogenic if it was; ureteric, vesico-cervical, vesico-uterine, or vaginal vault fistula that followed an obstetric or gynecological surgery.
Use of omentum during robotic-assisted reconstructive urological surgery: a systematic review of the current literature.
World J Urol
November 2024
Department of Urology, University of Leipzig, Leipzig, Germany.
Article Synopsis
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- - A systematic search of three databases yielded 13 relevant studies, covering various repairs, such as vesicovaginal and rectourethral fistulas, with recurrence rates between 0% and 6.7% and low complication rates.
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Emergency delivery in pregnancies at high probability of placenta accreta spectrum on prenatal imaging: a systematic review and meta-analysis.
Am J Obstet Gynecol MFM
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Department of Obstetrics and Gynecology, Center for Fetal Cand High-Risk Pregnancy, University of Chieti, Chieti, Italy (Lucidi, D'Amico, and D'Antonio). Electronic address:
Background: Placenta accreta spectrum disorders are associated with a high risk of maternal morbidity, particularly when surgery is performed under emergency conditions. This study aimed to investigate the incidence of emergency cesarean delivery in patients with a high probability of placenta accreta spectrum disorders on prenatal imaging and to compare the maternal and neonatal outcomes between patients requiring emergency cesarean delivery and those not requiring emergency cesarean delivery.
Data Sources: MEDLINE, Embase, Cochrane, and ClinicalTrials.
Successful transvaginal repair of a vesicouterine fistula with delayed presentation.
BMJ Case Rep
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Obstetrics and Gynecology, Ballad Health, Greeneville, Tennessee, USA
A G4P4 woman in her 30s with a type II vesicouterine fistula, as defined by the Jozwik classification system, presented with symptoms of menouria, vaginal menses and urinary incontinence 8 years after caesarean delivery, the time of probable origination of the fistula tract. Transvaginal ultrasound identified a fistula tract communicating between the bladder and uterus, a rare finding that many years remote from caesarean delivery. Traditional surgical technique includes laparoscopic, abdominal and endoscopic methods of repair, sometimes using a transvesical approach.
View Article and Find Full Text PDFPerioperative complications in women undergoing thermal balloon endometrial ablation after one or more cesarean deliveries.
Eur J Obstet Gynecol Reprod Biol
August 2024
Department of Gynecology, Obstetrics and Gynecological Endocrinology, Kepler University Hospital, Johannes Kepler University Linz, Altenberger Strasse 69, 4040 Linz and Krankenhausstrasse 9, 4020 Linz, Austria.
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