title: [Vesico-uterine fistula, a rare complication of cesarean section].
abstract: We present the case of a vesicouterine fistula secondary to a caesarean section indicated due to the disproportion the pelvis and the head of the baby. This kind of fistula is due fundamentally to obstetric causes, especially to caesarean sections in developed countries and to prolonged labour in developing countries. The commonest clinical presentation is urinary incontinence in the form of continuous or intermittent urinary leaks. Surgical treatment is generally the therapy of choice, although, in the case of small fistulas, conservative treatment is feasible. The best form of prevention is correct indication of caesarean section and careful surgical technique.
authors.affiliation: Servicio de Obstetricia y Ginecología, Hospital Universitario Materno Infantil de Canarias.
authors.forename: N
authors.initials: N
authors.lastname: Medina Ramos
authors.forename: J F
authors.initials: JF
authors.lastname: Cerezuela Requena
authors.forename: A
authors.initials: A
authors.lastname: Martín Martínez
authors.forename: J A
authors.initials: JA
authors.lastname: García Hernández
authors.forename: N
authors.initials: N
authors.lastname: Chesa Ponce
mesh_terms: D000328:Adult; D017604:Cesarean Section, Repeat; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D011183:Postoperative Complications / Q000209:etiology*; D011247:Pregnancy; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014567:Urography; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery