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Summary
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A woman experienced urinary incontinence and menouria for 13 years after childbirth. Surgical repair of a bladder-uterus fistula resolved her symptoms, restoring a normal quality of life.

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Case Report

Background:

  • Urinary incontinence and menouria can significantly impact quality of life.
  • Vesicouterine fistulas are rare complications, often associated with childbirth or gynecological procedures.

Observation:

  • A 41-year-old woman presented with a 13-year history of urinary incontinence and menouria following her first vaginal delivery.
  • Imaging revealed a vesicouterine fistula, with contrast spillage from the bladder to the uterus.
  • Cystoscopy confirmed a fistulous opening in the posterior bladder wall.

Findings:

  • Surgical intervention involving total abdominal hysterectomy and fistula repair was performed.
  • The patient experienced a smooth postoperative recovery.

Implications:

  • This case highlights the successful surgical management of a long-standing vesicouterine fistula.
  • Prompt diagnosis and surgical repair can lead to complete symptom resolution and improved patient outcomes.