Vesicouterine fistula after vacuum delivery and two previous cesarean sections. A case report
Gil, A.; Sultana, C.J.
Journal of Reproductive Medicine 46(9): 853-855
2001
ISSN/ISBN: 0024-7758 PMID: 11584491 Document Number: 540460
BACKGROUND: Vesicouterine fistulas are associated with cesarean section and more rarely with vaginal birth after cesarean (VBAC). Many surgical approaches exist, including hysterectomy. CASE: A vesicouterine fistula was diagnosed after VBAC in a 34-year-old multipara with two previous cesarean sections. The defect failed to close after four months of bladder drainage. Closure via laparotomy with an omental flap and preservation of the uterus was successful. CONCLUSION: Vesicouterine fistula can occur after VBAC, and failure of conservative therapy can be treated abdominally with preservation of the uterus.