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Uterovesical Fistula as an Uncommon Complication Following Cesarean Delivery: A Case Report

Lilyan W Sersam1, Issam Salman Al-Azzawi2, Sura Basil Findakly3

  • 1Department of Obstetrics and Gynecology, College of Medicine, Mustansiriyah University, Al-Yarmouk Teaching Hospital, Baghdad, Iraq.

Journal of Obstetrics and Gynaecology of India
|December 2, 2022
PubMed

Uterovesical fistula (UVF) represents a rare and undesirable complication of cesarean section. It is the least common type of urogenital fistulae. Here we report a 41-year-old woman who presented with a four-year history of cyclical menouria and secondary infertility. After she resumed her regular menstrual cycles six weeks following her fourth cesarean delivery, she started to recognize the passage of blood with urine with each cyclical vaginal bleeding. The diagnosis of UVF was made through ultrasonography, hysterosalpingography (HSG) and cystoscopy. Being a large-diameter fistula, a successful surgical repair with the traditional open surgery was done and the fistulous tract was completely excised. Recovery was uneventful. There was no more menouria after fistula repair.

Keywords:
Cesarean sectionHysterosalpingographyUltrasonographyUterovesical fistula

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