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A vesicouterine fistula caused by catheterization during delivery
1Department of Urology, Ottawa General Hospital, Ottawa, Ontario.
The Canadian Journal of Urology
|January 1, 1995
Summary
A rare vesicouterine fistula developed in a woman after bladder catheterization during delivery. This complication occurred in a patient with a history of two prior Cesarean sections, highlighting a unique risk factor.
Area of Science:
- Urogynecology
- Obstetrics and Gynecology
- Surgical Complications
Background:
- Vesicouterine fistulae, abnormal connections between the bladder and uterus, are uncommon gynecological complications.
- Previous literature documents these fistulae occurring after prolonged labor or Cesarean sections.
- Risk factors for vesicouterine fistula formation are not fully elucidated.
Purpose of the Study:
- To report a rare case of vesicouterine fistula.
- To highlight a potential complication of urinary catheterization during delivery.
- To discuss the specific patient factors contributing to this fistula.
Main Methods:
- Case report detailing a patient's clinical presentation and management.
- Review of the patient's obstetric and surgical history.
- Description of the iatrogenic cause: catheter penetration during delivery.
Main Results:
- A vesicouterine fistula was diagnosed following delivery.
- The fistula formation was directly linked to urinary catheterization.
- The patient had a history of two previous Cesarean sections, suggesting increased risk.
Conclusions:
- Urinary catheterization during delivery can lead to vesicouterine fistula, particularly in women with prior uterine surgeries.
- This case underscores the importance of careful technique during catheterization in high-risk obstetric patients.
- Further investigation into iatrogenic fistula formation after obstetric procedures is warranted.