DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20212988

Vesico-cervical fistula following normal vaginal delivery: case report and management overview

Vijaya Koothan

Abstract


Vesico-uterine fistula is an uncommon pathological communication developing between the uterus or cervix and the urinary bladder especially in traumatic caesarean sections. We presented a case of vesico-cervical fistula who presented after 18 years of occurrence of fistula and successful repair. Clinical diagnosis may be delayed due to varied presentations and evaluation may require more than one modality of investigation. The choice of treatment surgical or conservative management depends on the location size and number of the fistula. Surgical outcomes of open laparotomy, laparoscopic and robotic surgery have been successful. Obstetric outcomes of post repair patients have had successful pregnancies.


Keywords


Youssef syndrome, Vesico-uterine fistulas, Vesico-cervical fistula

Full Text:

PDF

References


Youssef AF. Menouria following lower segment cesarean section; a syndrome. Am J Obstet Gynecol. 1957;73(4):759-67.

Jozwik M, Jozwik M. Spontaneous closure of vesicouterine fistula. Account for effective hormonal treatment. Urol Int. 1999;62(3):183-7.

Jozwik M, Jozwik M, Lotocki W. Vesicouterine fistula--an analysis of 24 cases from Poland. Int J Gynaecol Obstet. 1997;57(2):169-72.

Jozwik M, Jozwik M. Clinical classification of vesicouterine fistula. Int J Gynaecol Obstet. 2000;70(3):353-7.

Bhattacharjee S, Kohli UA, Soodb A, Tripathy S, Mihir. Vesicouterine fistula: Youssef’s syndrome. Medical J armed forces India. 2015;71:175-7.

Birge O, Ozbey EG, Erkan MM, Arslan D, Kayar I. Youssef's Syndrome following Cesarean Section. Case Rep Obstet Gynecol. 2015;2015:605325.

Yip SK, Leung TY. Vesicouterine fistula: an updated review. Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):252-6.

Rao MP, Dwivedi US, Datta B, Vyas N, Nandy PR, Trivedi S, Singh PB. Post caesarean vesicouterine fistulae- Youssef syndrome: our experience and review of published work. ANZ J Surg. 2006;76(4):243-5.

Dein B, Tabey N, Hefnawy A, Osman Y, Soliman S, Shaaban AA. Diagnosis, treatment and need for hysterectomy in management of postcaesarean section vesicouterine fistula. Scand J Urol. 2014;48(5):460-5.

Ikechebelu JI, Ugboaja JO, Okeke CF. Post-cesarean vesicouterine fistula (Youssef syndrome): report of two cases. J Obstet Gynaecol Res. 2011;37(7):912-5.

Czerwinski F, Pilarczyk K, Kozik W. Vascularization of the posterior wall of the urinary bladder in women after past cesarean section in light of microangiographic studies. Ginekol Pol. 1992;63(8):398-403.

Machado RA, Machado LC, Lourenco LL. Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review. SciElo Brazil. 2018;4(9):563-9.

Ugurlucan FG, Bastu E, Bakir B, Yalcin O. Vesicouterine fistula presenting with urinary incontinence 30 years after primary Cesarean: Case report and review of the literature. Can Urol Assoc J. 2014;8(1-2):48-50.

Smayra T, Ghossain MA, Buy JN, Moukarzel M, Jacob D, Truc JB. Vesicouterine fistulas: imaging findings in three cases. AJR Am J Roentgenol. 2005;184(1):139-42.

Benchekroun A, Lachkar A, Soumana A, Farih MH, Belahnech Z, Marzouk M, Faik M. Vesico-uterine fistulas. Report of 30 cases. Ann Urol. 1999;33(2):75-9.

Ghar ME, Assmy AM, Refaie HF, Diasty TA. Radiological diagnosis of vesicouterine fistula: role of magnetic resonance imaging. J Magn Reson Imaging. 2012;36(2):438-42.

Tancer ML. Vesicouterine fistula--a review. Obstet Gynecol Surv. 1986;41(12):743-53.

Singh V, Sinha RJ, Mehrotra S. Primary menouria due to a congenital vesico-vaginal fistula with distal vaginal agenesis: a rarity. Int Urogynecol J. 2011;22(8):1031-3.

Purkait, Mehratra S, Sinha RJ, Bhaskar V, Singh V. Long-term outcome of laproscoic vesicouterine Fistula repair: Experience from a tertiary referral centre. Turk J Urol. 2017;43(4):512-6.

Perveen K, Gupta R, Al-Badr A, Hemal AK. Robot-assisted laparoscopic repair of rare post-cesarean section vesicocervical and vesicouterine fistula: a case series of a novel technique. Urology. 2012;80(2):477-82.

Molina LR, Lynne CM, Politano VA. Treatment of vesicouterine fistula by fulguration. J Urol. 1989;141(6):1422-3.

Lotocki W. Jozwik M. Jozwik M prognosisof fertility after surgical closure of vesicouterine fistula. Eur J Obstet Gynecol Reprod Biol 1996;64(01):87-90.