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Uterine Fistula

About: Uterine Fistula is a research topic. Over the lifetime, 131 publications have been published within this topic receiving 931 citations.


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Journal Article
TL;DR: A case report of vesicouterine fistula following 2 previous cesarean sections is presented, successfully managed by cystoscopic fulguration followed by hormonal suppression of menstruation for 3 months.
Abstract: Vesicouterine fistula is an uncommon urogenital fistula. The incidence is on the rise because of increasing incidence of cesarean sections. Cyclical hematuria or menouria is an important clinical feature of this fistula which may or may not be associated with urinary incontinence depending on the location of the fistulous tract. We present a case report of vesicouterine fistula following 2 previous cesarean sections. This was successfully managed by cystoscopic fulguration followed by hormonal suppression of menstruation for 3 months. Vesicouteine fistula can be prevented if care is taken to separate the bladder from the uterus during repeat cesarean sections.
Journal ArticleDOI
TL;DR: The risk of ureteral injury is highest during gynaecological surgeries and lowest during caesarean sections as discussed by the authors, due to its proximity to the female genital tract and involvement in local pathologies is susceptible to inadvertent Iatrogenic injury during pelvic surgeries.
Abstract: The ureter due to its proximity to the female genital tract and involvement in local pathologies is susceptible to inadvertent iatrogenic injury during pelvic surgeries. The risk of ureteral injury is highest during gynaecological surgeries and lowest during caesarean sections. Uretero-uterine fistula (UUF) consequent to such inadvertent obstetrical injuries is a rarity. We report three cases of uretero-uterine fistulas, by far the largest series reported, and review the available literature.
Journal ArticleDOI
TL;DR: Intra-operative diagnosis and appropriate repair of bladder injury during a caesarean section can reduce the likelihood of encountering this iatrogenic complication and its medicolegal repercussions.
Abstract: Vesicouterine fistula (VUF) is rare and accounts for 1-4% of all genitourinary fistulas. Majority [80-90%] are caused during caesarean sections. Rising trend of lower section caesarean sections (LSCS) have led to an increased reporting of this complication. Intra-operative diagnosis and appropriate repair of bladder injury during a caesarean section can reduce the likelihood of encountering this iatrogenic complication and its medicolegal repercussions. An iatrogenic genitourinary fistula is an abnormal communication between the bladder or ureter and the uterus/cervix/ vagina, resulting from a surgical procedure. According to RCOG, the incidence of bladder injuries in caesarean sections is 1 in 1000. Factors involved in the development of VUF secondary to LSCS include inadequate downward mobilization of the bladder, sutures inadvertently placed through the bladder wall, bladder devascularisation during dissection and infection secondary to catheterisation, or haematoma formation. It may have varied clinical picture with early or late presentation.
Journal ArticleDOI
TL;DR: VUF is an unusual complication of LCSC, and presentation is very variable, from frank urinary leakage to vaginal discharge, and what makes it unique is a competent cervix, which closes and allows urine to be trapped in to the uterus.
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Performance
Metrics
No. of papers in the topic in previous years
YearPapers
20211
20205
20191
20182
20178
20162