Prognosis of fertility after surgical closure of vesicouterine fistula.
OBJECTIVE
To evaluate fertility of women following surgical closure of vesicouterine fistula.


METHODS
Long-term retrospective investigation combined with a follow-up in the setting of an academic department. Operative hospital records (15,718) were reviewed for a 12-year period.


RESULTS
Sixteen women with a vesicouterine fistula at reproductive age entered the study. Five pregnancies were recorded after repair, of which four resulted in a full term delivery. In comparison with the data reported to date this series showed significantly higher rates of pregnancy (31.25% vs. 9.7%; P = 0.012) and term deliveries (25% vs. 6.2%; P = 0.01). The majority of women were afraid of recurrence if pregnant again.


CONCLUSIONS
Fertility after repair of vesicouterine fistula can be much better than previously described.
Lotocki
W
W
Department of Gynecology and Septic Obstetrics, School of Medicine, Białystok, Poland.
Jóźwik
M
M
Jóźwik
M
M
D000328:Adult; D005260:Female; D005298:Fertility; D005402:Fistula / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D011247:Pregnancy; D011379:Prognosis; D011795:Surveys and Questionnaires; D001747:Urinary Bladder Fistula / Q000503:physiopathology* / Q000601:surgery; D014591:Uterine Diseases / Q000503:physiopathology* / Q000601:surgery