AI Article Synopsis
- * She desired more children and was advised to have the fistula repaired during her next cesarean section, which occurred 27 months later.
- * The report emphasizes the significance of optimal surgical timing and factors that can improve the success rate of surgical repair for fistulas.
Article Abstract
We present a case in which there was optimal management of recurrent cervicovesical fistula. The patient sustained a fistula shortly after a cesarean for cephalopelvic disproportion in the second stage. She underwent an unsuccessful attempt at vaginal repair 3 months postpartum and continued experiencing intermittent urinary leakage through the vagina. She expressed a wish for further childbearing and was counseled to undergo fistula repair at the time of repeat cesarean section. Twenty-seven months after her first delivery, she had a second healthy pregnancy and the repair of her cervicovesical fistula was performed with collagen graft interposition at the time of her elective cesarean section. This case report highlights the importance of surgical timing and comments on various factors that possibly enhance the success of the fistula repair.
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| http://dx.doi.org/10.1007/s00192-013-2323-4 | DOI Listing |
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