Topic
Uterine Fistula
About: Uterine Fistula is a research topic. Over the lifetime, 131 publications have been published within this topic receiving 931 citations.
Papers published on a yearly basis
Papers
More filters
Journal Article•
TL;DR: The Authors report the experience about the observation and treatment of a case of a young woman, 29 years old, who had a uretero-uterine fistula, after a cesarean section for the first pregnancy.
Abstract: Accidental iatrogenic injuries of ureters and bladder in patients with abdominal and pelvic pathology are described as a possible lesion of a surgical or gynaecologic treatment. The ureteral lesion is less frequent in obstetric surgery, but the young age of the patients and the gravity of the consequences, impose a very serious problem for a early diagnosis with a conservative surgical treatment. On the contrary, this important injury, bears an important surgical management with possible functional damage of the reno-urinary tract. The Authors report the experience about the observation and treatment of a case of a young woman, 29 years old, who had a uretero-uterine fistula, after a cesarean section for the first pregnancy.
2 citations
2 citations
Journal Article•
TL;DR: Review of the literature revealed that the ureter is damaged by blind haemostasis of bleeding at the lateral angle of the hysterotomy, most often on the left, as a result of dextrorotation, andUretero-vesical reimplantation into a tubular vesical flap or a psoas bladder ensures treatment when the kidney remains functional.
Abstract: The authors report a new case of uretero-uterine fistula and on this basis review the 9 other publications devoted to this subject since 1971. In their own case, the diagnosis was based upon the clinical picture only : permanent flow of urine through the uterine cervix with persistence of normal micturation and left lumbar pain following a caesarian section. Uretero-pyelo-calyceal distension proximal to a low pelvic ureteric stenosis visible by IVU was confirmed by RUP which succeeded in opacifying only the final 3 cm of the ureter. Only peroperative opacification of the ureter showed the fistula tract with the uterus. This was successfully treated by uretero-vesical reimplantation into a psoas bladder. Review of the literature revealed the following points : --The ureter is damaged by blind haemostasis of bleeding at the lateral angle of the hysterotomy, most often on the left, as a result of dextrorotation. --Clinical features consist of the urinary fistula, pain and infectious complications with upper urinary excretory tract obstruction. --The ureteric lesion is situated very low down, between 2 and 4 cm above the ureteric meatus. --Uretero-vesical reimplantation into a tubular vesical flap or a psoas bladder ensures treatment when the kidney remains functional. --The prevention of such lesions may be summarised very briefly : beware of the ureter at the lateral angles of hysterotomy for caesarian section.
2 citations
TL;DR: A 32-year-old patient had experienced secondary infertility for 11 years and previous diagnostics had been unsuccessful (ultrasound, laparoscopy, and hormone therapy), and a discontinuous anterior wall of the uterine isthmus from a previous cesarean delivery was revealed.
2 citations