Conservative treatment of a vesicocervical fistula resulting from Shirodkar cervical cerclage.
A case of a vesicocervical fistula caused by Shirodkar cervical cerclage and presenting as total urinary incontinence is reported. The patient was managed conservatively by bladder drainage alone with complete resolution of the fistulous tract. This rare complication is avoidable if the bladder is adequately dissected from the cervix during placement of the cerclage suture.
Golomb
J
J
Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Ben-Chaim
J
J
Goldwasser
B
B
Korach
J
J
Mashiach
S
S
D000328:Adult; D002585:Cesarean Section; D004322:Drainage / Q000379:methods; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D013536:Suture Techniques; D013537:Sutures / Q000009:adverse effects*; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000628:therapy; D014549:Urinary Incontinence / Q000209:etiology; D002577:Uterine Cervical Diseases / Q000209:etiology* / Q000628:therapy; D002581:Uterine Cervical Incompetence / Q000601:surgery*