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Vesicouterine fistula: an updated review
1Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.
International Urogynecology Journal and Pelvic Floor Dysfunction
|December 16, 1998
Summary
Vesicouterine fistulas are rare, but increased cesarean deliveries may impact their occurrence. This review updates the etiology, diagnosis, and management of vesicouterine fistulas, focusing on recent findings.
Area of Science:
- Gynecology
- Obstetrics
- Urology
Background:
- Vesicouterine fistula is a rare clinical condition.
- Literature review indicates a potential link between increased cesarean deliveries and fistula incidence.
- Pathophysiology details are scarce due to the lesion's rarity.
Purpose of the Study:
- To review the current understanding of vesicouterine fistula.
- To update the etiology, diagnosis, and management of vesicouterine fistulas.
- To focus on the most recent 10 years (1987-1997) of relevant literature.
Main Methods:
- Comprehensive literature search of Medline (1966-1997) using specific keywords.
- Cross-referencing earlier medical literature for completeness.
- Emphasis on publications from the last decade of the search period.
Main Results:
- Identified a change in obstetric practice with increased cesarean deliveries.
- Noted limited information on pathophysiology in existing literature.
- Focused on recent data for etiology, diagnosis, and management.
Conclusions:
- Vesicouterine fistula requires updated understanding due to evolving obstetric practices.
- Recent literature provides crucial insights into the condition's etiology, diagnosis, and management.
- Further research may be needed to fully elucidate the pathophysiology.