Management of vesico-uterine fistulae: a report of six cases.
Six cases of vesico-uterine fistulae caused by cesarean section in four and pelvic trauma in two cases were treated during the past 15 years. Both the cases of vesico-uterine fistulae due to pelvic trauma and one case of vesico-uterine fistula due to cesarean section in whom the fistula was detected in the early post-operative period, could be managed successfully by suprapubic urinary diversion and control of infection. Two patients who were seen more than 1 year after the cesarean section, were cured by trans-abdominal closure of the fistula with omental interposition. One patient who reported 3 months after the cesarean section was managed by estrogen and progesterone-induced amenorrhea. The management protocol for vesico-uterine fistula should thus be individualised taking into consideration the etiology, and time interval between its occurrence and institution of treatment regimen.
D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000175:diagnosis; D006801:Humans; D010388:Pelvis / Q000293:injuries; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000209:etiology; D014591:Uterine Diseases / Q000175:diagnosis* / Q000209:etiology