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Timing cervicovesical fistula repair with repeat cesarean section
Roxana Geoffrion1, Momoe T Hyakutake
1Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada, roxygeo@hotmail.com.
This case report details the successful management of recurrent cervicovesical fistula in a patient desiring future childbearing. Optimal surgical timing during a repeat cesarean section with collagen graft interposition led to successful fistula repair.
Area of Science:
- Urology
- Gynecology
- Obstetrics
Background:
- Cervicovesical fistula is a rare but serious complication following obstetric procedures.
- Recurrent fistulas pose significant management challenges, especially in patients desiring future fertility.
Observation:
- A patient developed a cervicovesical fistula after a cesarean delivery for cephalopelvic disproportion.
- An initial vaginal repair attempt was unsuccessful, leading to persistent urinary leakage.
Findings:
- A successful repair of the recurrent cervicovesical fistula was achieved during a repeat cesarean section.
- Collagen graft interposition was utilized during the simultaneous cesarean and fistula repair procedure.
Implications:
- This case underscores the importance of strategic surgical timing for recurrent cervicovesical fistula repair.
- Simultaneous repair during repeat cesarean delivery may be a viable option for women desiring future pregnancies.
- Collagen graft interposition shows promise in enhancing fistula repair success rates.
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