Vesico-uterine fistula after endometrial ablation in a woman with prior cesarean deliveries.
BACKGROUND
Impedance-controlled endometrial ablation is a common procedure for menorrhagia in premenopausal women with relatively few contraindications.


METHODS
A 54-year-old woman with an obstetric history significant for three prior low transverse cesarean deliveries reported a constant drip of urine from the vagina beginning approximately 2 weeks after impedance-controlled endometrial ablation for menorrhagia. Evaluation confirmed a vesico-uterine fistula in the area of the prior cesarean delivery scars. The patient underwent a successful repair of the fistula using the abdominal approach.


CONCLUSIONS
Vesico-uterine fistula may be associated with impedance-controlled endometrial ablation in women with prior low transverse cesarean deliveries.
Rooney
Kristin E
KE
From the Women's Continence Center of Greater Rochester, Rochester, New York.
Cholhan
Hilary J
HJ
D017604:Cesarean Section, Repeat / Q000009:adverse effects*; D055356:Endometrial Ablation Techniques / Q000009:adverse effects*; D005260:Female; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008595:Menorrhagia / Q000601:surgery; D008875:Middle Aged; D000267:Tissue Adhesions / Q000150:complications; D001747:Urinary Bladder Fistula / Q000209:etiology* / Q000601:surgery; D014591:Uterine Diseases / Q000209:etiology* / Q000601:surgery