Case Report
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Vesicouterine fistula after cesarean section: A case report

Year 2025, Volume: 64 Issue: 2, 398 - 401, 10.06.2025
https://doi.org/10.19161/etd.1610375

Abstract

Abstract

A vesicouterine fistula is an abnormal connection between the bladder and the uterus. It is a rare condition constituting 1-4% of urogenital fistulas. Its prevalence has increased in recent years due to the rising number of cesarean sections. Ultrasonography, cystoscopy, cystography, hysterosalpingography, computed tomography and magnetic resonance imaging methods are used in the diagnosis. Treatment options include conservative, medical and surgical methods. Surgical treatment is considered as the definitive solution. In this article, a case of uterovesical fistula after the third cesarean section was treated with surgical technique and presented with a review of the literature.

References

  • Jilaveanu, A., Socea, B., Bohiltea, R., Stiru, O., Al Aloul, A., Ursut, B., ... & Bacalbasa, N. (2023). Uterovesical fistulas as obstetric complications: Diagnosis, management and prognosis. Experimental and therapeutic medicine, 25(3), 1-4.
  • Smayra T, Ghossain MA, Buy JN, Moukarzel M, Jacob D, Truc JB. Vesicouterine Fistulas: Imaging findings in three cases. AJR 2005; 184(1):139-42.
  • Rao MP, Dwivedi US, Datta B, Vyas N, Nandy PR, Trivedi S, et al. Post caesarean vesicouterine fistulae Youssef syndrome: our experience and review of published work. ANZ J Surg 2006;76:243-5.
  • Mohammed B, Jean Paul O, Mustapha A, Karim T, Soufiane M, Jalaleddine El. A et al. Incontinence urinaire révélant une fistule vésico-utérine: à propos d'un cas. Pan Afr. Med. J. 2018; 31:32 doi:10.11604/pamj.2018.31.32.15595
  • Ikechebelu JI, Ugboaja JO, Okeke CF. Post-cesarean vesicouterine fistula (Youssef syndrome): report of two cases. J Obstet Gynaecol Res. 2011;37(7):912-915. doi:10.1111/j.1447-0756.2010.01428.x
  • Porcaro, A. B., Zicari, M., Antoniolli, S. Z., Pianon, R., Monaco, C., Migliorini, F., ... & Comunale, L. (2002). Vesicouterine fistulas following cesarean section Report on a case, review and update of the literature. International urology and nephrology, 34, 335-344.
  • Bettez M, Breault G, Carr L, Tu le M. Early versus delayed repair of vesicouterine fistula. Can Urol Assoc J 2011;5:E52-5. Volume 64 Issue 2, June 2025 / Cilt 64 Sayı 2, Haziran 2025 401
  • Bonavina, G., Busnelli, A., Acerboni, S., Martini, A., Candiani, M., & Bulfoni, A. (2024). Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention. International Journal of Gynecology & Obstetrics, 165(3), 894-915.
  • Rao, M. P., Dwivedi, U. S., Datta, B., Vyas, N., Nandy, P. R., Trivedi, S., & Singh, P. B. (2006). Post caesarean vesicouterine fistulae–Youssef syndrome: our experience and review of published work. ANZ journal of surgery, 76(4), 243-245.
  • Lenkovsky, Z., Pode, D., Shapiro, A., & Caine, M. (1988). Vesicouterine fistula: a rare complication of cesarean section. The Journal of urology, 139(1), 123-125.

Sezaryen sonrası vezikouterin fistül olgusu: Olgu sunumu

Year 2025, Volume: 64 Issue: 2, 398 - 401, 10.06.2025
https://doi.org/10.19161/etd.1610375

Abstract

Öz

Vesikouterin fistül, mesane ile uterus arasında oluşmaktadır. Ürogenital fistüllerin %1-4’ünü oluşturan nadir bir durumdur. Son yıllarda sezaryen ameliyatlarının artmasıyla birlikte prevalansında artış gözlenmiştir. Tanıda ultrasonografi, sistoskopi, sistografi, histerosalpingografi, bilgisayarlı tomografi ve manyetik rezonans görüntüleme yöntemleri kullanılmaktadır. Tedavi seçenekleri konservatif, medikal ve cerrahi yöntemleri içermektedir. Cerrahi tedavi kesin çözüm olarak kabul edilmektedir. Bu makalede, üçüncü sezaryen operasyonu sonrası uterovezikal fistül gelişen bir olgu, cerrahi teknikle tedavi edildi ve literatürler değerlendirilerek sunuldu.

Ethical Statement

Etik onay gerekmemektedir

Supporting Institution

Yoktur.

References

  • Jilaveanu, A., Socea, B., Bohiltea, R., Stiru, O., Al Aloul, A., Ursut, B., ... & Bacalbasa, N. (2023). Uterovesical fistulas as obstetric complications: Diagnosis, management and prognosis. Experimental and therapeutic medicine, 25(3), 1-4.
  • Smayra T, Ghossain MA, Buy JN, Moukarzel M, Jacob D, Truc JB. Vesicouterine Fistulas: Imaging findings in three cases. AJR 2005; 184(1):139-42.
  • Rao MP, Dwivedi US, Datta B, Vyas N, Nandy PR, Trivedi S, et al. Post caesarean vesicouterine fistulae Youssef syndrome: our experience and review of published work. ANZ J Surg 2006;76:243-5.
  • Mohammed B, Jean Paul O, Mustapha A, Karim T, Soufiane M, Jalaleddine El. A et al. Incontinence urinaire révélant une fistule vésico-utérine: à propos d'un cas. Pan Afr. Med. J. 2018; 31:32 doi:10.11604/pamj.2018.31.32.15595
  • Ikechebelu JI, Ugboaja JO, Okeke CF. Post-cesarean vesicouterine fistula (Youssef syndrome): report of two cases. J Obstet Gynaecol Res. 2011;37(7):912-915. doi:10.1111/j.1447-0756.2010.01428.x
  • Porcaro, A. B., Zicari, M., Antoniolli, S. Z., Pianon, R., Monaco, C., Migliorini, F., ... & Comunale, L. (2002). Vesicouterine fistulas following cesarean section Report on a case, review and update of the literature. International urology and nephrology, 34, 335-344.
  • Bettez M, Breault G, Carr L, Tu le M. Early versus delayed repair of vesicouterine fistula. Can Urol Assoc J 2011;5:E52-5. Volume 64 Issue 2, June 2025 / Cilt 64 Sayı 2, Haziran 2025 401
  • Bonavina, G., Busnelli, A., Acerboni, S., Martini, A., Candiani, M., & Bulfoni, A. (2024). Surgical repair of post‐cesarean vesicouterine fistula: A systematic review and a plea for prevention. International Journal of Gynecology & Obstetrics, 165(3), 894-915.
  • Rao, M. P., Dwivedi, U. S., Datta, B., Vyas, N., Nandy, P. R., Trivedi, S., & Singh, P. B. (2006). Post caesarean vesicouterine fistulae–Youssef syndrome: our experience and review of published work. ANZ journal of surgery, 76(4), 243-245.
  • Lenkovsky, Z., Pode, D., Shapiro, A., & Caine, M. (1988). Vesicouterine fistula: a rare complication of cesarean section. The Journal of urology, 139(1), 123-125.
There are 10 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Case Reports
Authors

Mehmet Emre Peker 0000-0002-3344-2935

Ufuk Atlıhan 0000-0002-2109-1373

Duygu Uçar Kartal 0000-0003-4751-5944

Publication Date June 10, 2025
Submission Date December 30, 2024
Acceptance Date April 17, 2025
Published in Issue Year 2025Volume: 64 Issue: 2

Cite

Vancouver Peker ME, Atlıhan U, Uçar Kartal D. Vesicouterine fistula after cesarean section: A case report. EJM. 2025;64(2):398-401.