Le Mai, "Early versus delayed repair of vesicouterine fistula," Canadian Urological Association Journal, vol.
Colovic, "Vesicouterine fistula: report of 14 cases," BJU International, vol.
On 17 December 2015 a joint team of urologists and obstetrician-gynecologists performed the following surgical treatment: laparotomy, vesicouterine fistula excision, removal of the fetus from the bladder cavity, bladder defect closure, and supravaginal amputation of uterus with removal of both fallopian tubes.
Among all types of urogenital fistulas the vesicouterine fistula is considered to be the most rare one.
Twenty nine (25.6%) patients had ureterovaginal fistula, 3 (2.6%) had vesicouterine fistula and 1 (0.88%) each with urethrovaginal fistula and combined fistula (vesicovaginal fistula along with ureterovaginal fistula).
The vesicouterine fistula repair was performed through the abdominal approach.
Commonest presentation of congenital vesicouterine fistula is cyclical menouria and same was seen in our case.
Ultrasound and intravenous pyelography detected solitary right kidney, but fails to detect vesicouterine fistula. Micturating cystourethrogram revealed good capacity bladder without any reflux, but failed to detect vesicouterine fistula.
Early versus delayed repair of vesicouterine fistula. Can Urol Assoc J 2011;5:E52-5.
Vesicouterine fistula following cesarean delivery: Ultrasound diagnosis and surgical management.
Spontaneous closure of vesicouterine fistula
has been reported.[sup.14] Medical treatment involves induction of amenorrhea to aid in fistula healing.[sup.15] Oral contraceptives, progestational agents, and gonadotropin releasing hormone analogs have been used to induce amenorrhea.[sup.6] Surgery is the definitive method of treatment.
Successful management of vesicouterine fistula
by luteinizing hormone-releasing hormone analog.