Related Experiment Videos
Spontaneous intrapartum vesicouterine fistula
Bilal Kaaki1, Michael Gyves, Howard Goldman
1Department of Obstetrics, University Hospitals of Cleveland, Case Western Reserve University, Cleveland, Ohio, USA. bilalkaa@hotmail.com
Obstetrics and Gynecology
|February 2, 2006
Summary
A rare case of vesicouterine fistula occurred after vaginal delivery in a woman without prior cesarean. Early diagnosis and surgical repair led to an excellent outcome for this obstetrical complication.
Area of Science:
- Obstetrics and Gynecology
- Urogynecology
Background:
- Vesicouterine fistulae are rare obstetrical complications.
- Typically associated with a history of cesarean delivery.
- This case presents a fistula developing after vaginal delivery without prior cesarean.
Observation:
- A 43-year-old woman with no prior cesarean history presented with gross hematuria during labor.
- Initial cystogram revealed an extraperitoneal bladder perforation.
- Diagnosis confirmed as vesicouterine fistula via cystoscopy and fistulogram.
Findings:
- The patient experienced urinary incontinence despite Foley catheter drainage.
- A vesicouterine fistula was diagnosed during the intrapartum period.
- Successful surgical repair was achieved three months postpartum.
Implications:
- Highlights the possibility of vesicouterine fistula formation without a history of cesarean delivery.
- Emphasizes the importance of accurate and timely diagnosis for effective management.
- Surgical intervention offers a favorable prognosis for patients with vesicouterine fistulae.