Vesico-uterine fistula of obstetrical origin. Report of 3 cases
Sefrioui, O.; Benabbes Taarji, H.; Azyez, M.; Aboulfalah, A.; el Karroumi, M.; Matar, N.; el Mansouri, A.
Annales d'Urologie 36(6): 376-380
2002
ISSN/ISBN: 0003-4401 PMID: 12611139 Document Number: 544091
Vesico-uterine fistulae (VUF) lead to an abnormal breech between the bladder and the womb. They are responsible for urinary incontinence and/or cyclic hematuria. They are rare and, in most cases, lead to complications following caesarean deliveries. We report observations of 3 vesico-uterine fistulae treated over a 5 years period at university maternity based at Casablanca, Morocco; they all occurred following caesarean deliveries. These patients were consulted for urinary leakage occurring few weeks up to many years following surgical traumatism. Diagnosis was evoked clinically in all cases and confirmed by intravenous urography and/or hysterography. These VUF were successfully treated by simple breech suture at laparotomy. Treatment is very simple and efficient when the diagnosis is made early and fistula simple. Surgery is recommended after medical treatment failure aiming at fistula drainage.