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International Urogynecology Journal

, Volume 29, Issue 2, pp 309–311 | Cite as

Repair of a vesicouterine fistula following cesarean section

  • Rodolfo Milani
  • Alice Cola
  • Matteo Frigerio
  • Stefano ManodoroEmail author
IUJ Video

Abstract

Introduction and hypothesis

Vesicouterine fistula is a rare complication of cesarean section. The aim of this video is to present a case report and to provide a tutorial on the surgical technique of delayed transvaginal repair of a high vesicouterine fistula that developed after cesarean section with manual removal of a morbidly adherent placenta.

Methods

A 43-year-old woman was referred to our unit for continuous urinary leakage 3 months after undergoing a cesarean section with manual removal of a morbidly adherent placenta. A vesicouterine fistula starting from the posterior bladder wall was identified. The surgical repair consisted of a transvaginal layered repair as shown in the video.

Results

No surgical complications were observed postoperatively. Two months after surgery the fistula had not recurred and the patient reported no urinary leakage.

Conclusions

Transvaginal layered primary repair of vesicouterine fistula was shown to be a safe and effective procedure for restoring continence. The vaginal route can be particularly attractive for urogynecological surgeons.

Keywords

Vesicouterine fistula Vaginal route Layered repair Complication 

Notes

Compliance with ethical standards

Conflicts of interest

None.

Consent

Written informed consent was obtained from the patient for publication of this video case report and any accompanying images.

Supplementary material

ESM 1

(MP4 96921 kb)

References

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Copyright information

© The International Urogynecological Association 2017

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynaecology, San Gerardo HospitalUniversity of Milano-BicoccaMonzaItaly

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