[Uterine bladder fistula after a cesarean. A case report]

The authors report a case history of a vesico-uterine fistula after a caesarean section which was proven by histerography. It presented as the loss of urine together with blood at the periods, which they treated at first by using analogues of LH-RH in order to dry up the loss. They, using this case, have analysed the literature on vesico-uterine fistulae after caesarean operations. This has appeared in the last 10 years. They demonstrate the physiopathology and the symptomatology of these particular fistulae. Symptomatology changes over a time interval in the same patient; and it probably depends on the capacity of the isthmus to recover its tone, as well as the fact that this fistula was localised at the isthmus which is the usual place that it occurs.