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Related Experiment Videos

Vesicouterine fistula--a review.

M L Tancer

    Obstetrical & Gynecological Survey
    |December 1, 1986
    PubMed
    Summary

    Vesicouterine fistula, a rare condition, has shifted from primarily following vaginal delivery to occurring post-cesarean section. Modern diagnosis and surgical repair techniques have evolved, impacting future reproductive potential.

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    A report of thirty-four instances of urethrovaginal and bladder neck fistulas.

    Surgery, gynecology & obstetrics·1993

    Area of Science:

    • Gynecology
    • Urology
    • Surgical History

    Background:

    • Vesicouterine fistula, a rare communication between the bladder and uterus, has been documented in medical literature.
    • Historical review of 92 reported cases since 1908 provides insight into its changing etiology and management.

    Observation:

    • Prior to 1947, vesicouterine fistula predominantly resulted from difficult vaginal deliveries.
    • Post-1947, the incidence increased following low segment cesarean sections, becoming less rare.
    • Typical symptoms evolved from total urinary incontinence to cyclic hematuria (menouria).

    Findings:

    • Diagnosis historically relied on indirect visualization of urinary passage.
    • Current diagnostic standards favor hysterography using a short-tipped cannula for accurate identification.
    • Surgical repair has transitioned from vaginal to abdominal approaches.

    Implications:

    • Management strategies now consider the patient's future reproductive capacity.
    • Understanding the shift in etiology and diagnostic methods is crucial for effective treatment.
    • Advances in surgical techniques aim to improve outcomes for women with vesicouterine fistula.

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