Successful transvaginal repair of a vesicouterine fistula with delayed presentation.
| Autor: | Love G; OB/GYN, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USA., White M; OB/GYN, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USA., Herrell H; Obstetrics and Gynecology, Ballad Health, Greeneville, Tennessee, USA hherrell@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2024 Jul 10; Vol. 17 (7). Date of Electronic Publication: 2024 Jul 10. |
| DOI: | 10.1136/bcr-2024-260827 |
| Abstrakt: | A G4P4 woman in her 30s with a type II vesicouterine fistula, as defined by the Jozwik classification system, presented with symptoms of menouria, vaginal menses and urinary incontinence 8 years after caesarean delivery, the time of probable origination of the fistula tract. Transvaginal ultrasound identified a fistula tract communicating between the bladder and uterus, a rare finding that many years remote from caesarean delivery. Traditional surgical technique includes laparoscopic, abdominal and endoscopic methods of repair, sometimes using a transvesical approach. Transvesical repair can be associated with subsequent inpatient hospital stays and prolonged catheterisation. Our technique proposes a transvaginal surgical approach as an outpatient procedure with decreased operating time (40 min), postoperative pain and catheterisation requirement. It is the authors' belief that a transvaginal approach is less invasive and allows for better preservation of the uterus for future pregnancies and vaginal deliveries, as desired by the patient. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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