A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report

Autor: Radu Viorel Dragos, Costache Radu Cristian, Onofriescu Mircea, Morosanu Corneliu, Onofrei Pavel, Bobeica Razvan Lucian, Tanasa Vasilache Ingrid, Tanase Adina, Popescu Dan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Women's Health Reports, Vol 5, Iss 1, Pp 3-7 (2024)
Druh dokumentu: article
ISSN: 2688-4844
DOI: 10.1089/WHR.2023.0121
Popis: Vesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We describe the diagnostic methods used and the surgical treatment used to resolve the case. A 30-year-old woman presented to the gynecology clinic with urinary incontinence that occurred 5 days postoperatively after a cesarean section. The diagnosis was made on the basis of computed tomography and cystoscopy. Treatment was surgical and consisted of excision of the fistula and suturing of the bladder and uterine wall, without interposition of the omentum. Postoperative evolution was uneventful. When the urethral catheter was removed on the 14th postoperative day, the patient presented spontaneous micturition without vaginal urine leakage. In the context of urinary incontinence after cesarean section, although it is a rare complication, we must consider the occurrence of a VUF.
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