1/84. Vesicouterine fistula after manual removal of placenta in a woman with previous cesarean section.Vesicouterine fistula is one of the less common acquired urogenital fistula and a rare event in obstetrics. We report a case which occurred after a vaginal delivery followed by manual removal of placenta in a woman who had a previous cesarean section. The fistula was successfully repaired 5 weeks after delivery.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
2/84. Laparoscopic treatment of vesicouterine fistula.Vesicouterine fistula are rare disorders that are most commonly repaired by laparotomy. A specific type of vesicouterine fistula, vesicocervical fistula, was repaired successfully by laparoscopy. This procedure was associated with minimal blood loss and morbidity, and the patient's hospital stay was less than 24 hours. (J Am Assoc Gynecol Laparosc 6(3):339-341, 1999)- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
3/84. Spontaneous closure of vesicouterine fistula. Account for effective hormonal treatment.OBJECTIVES: To analyze the incidence of spontaneous closure, or non-surgical resolution, of vesicouterine fistula and discuss the resultant implications for the management. methods: review of the literature supplemented by case report of a young woman with spontaneous healing of vesicouterine fistula. RESULTS: This is the 41st patient with spontaneous closure of vesicouterine fistula reported to date. Her clinical course was suggestive of endocrine involvement in the lesion's formation. Spontaneous healing was observed in 5% of 796 vesicouterine fistula cases. Induction of amenorrhea was effective in 8 (89%) of the 9 patients treated, a rate significantly higher (p < 0.001) than that observed without hormonal manipulation (4%). CONCLUSIONS: Conservative management by means of hormonal treatment should be considered before surgical repair. We suggest the role of estrogens and the endometrium in the formation of vesicouterine fistulas.- - - - - - - - - - ranking = 1.2857142857143keywords = fistula (Clic here for more details about this article) |
4/84. Antenatal diagnosis of vesicouterine fistula.BACKGROUND: In pregnancy, vesicouterine fistulas usually are diagnosed postpartum after cesarean deliveries. CASE: An 18-year-old woman, gravida 3, para 2, with two prior cesarean deliveries had pain and apparent rupture of membranes at 23 weeks' gestation. At 26 weeks' gestation, she developed increasing suprapubic pain and irregular contractions. Ultrasonographic findings included a small uterine defect and possible ballooning of membranes into her bladder. Cytoscopy showed ballooning of amnion into the bladder dome. A viable 900-g female infant was delivered by classic cesarean, the fistulous tract was excised, and the rupture sites were repaired. CONCLUSION: Vesicouterine fistulas might be diagnosed antenatally. With continued contractions and associated uterine rupture, cesarean delivery can be done with excision of the fistulous tract and repair of the rupture sites.- - - - - - - - - - ranking = 0.85714285714286keywords = fistula (Clic here for more details about this article) |
5/84. Vesicouterine fistula: MRI diagnosis.A case of vesicouterine fistula in a young woman following caesarean section is presented. The diagnosis was established successfully using heavily T2-weighted MRI which clearly demonstrated fluid within the fistula, obviating the need for conventional radiographic contrast examination.- - - - - - - - - - ranking = 0.85714285714286keywords = fistula (Clic here for more details about this article) |
6/84. diagnosis and management of post-cesarean ureterouterine fistulae.Urinary leakage following obstetric or gynecologic surgery is a dreaded complication, most often caused by a urogenital fistula. Of these, uretero-uterine fistulae are relatively rare and pose a diagnostic and therapeutic dilemma. A 29-year-old woman presented with paradoxical incontinence of urine for 3 months. She had developed vaginal leakage of urine 2 weeks following an uneventful cesarean section. Conservative measures in the form of catheterization and bed rest did not relieve her symptoms. Subsequent examination and investigations revealed that she had a ureterouterine fistula. The case is discussed as well as the diagnostic modalities and treatment options.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
7/84. Uterine actinomycosis associated with an enterocutaneous fistula. A case report.A postmenopausal woman with suppurative actinomycotic uterine infection complicated by an enterocutaneous fistula is reported. It occurred against a background of prolonged use of an intra-uterine contraceptive device.- - - - - - - - - - ranking = 0.71428571428571keywords = fistula (Clic here for more details about this article) |
8/84. A case report on vesico-uterine fistula: a very rare complication of the lower caesarean section.Vesico-uterine fistula is a very rare complication of lower caesarean section. There has only been two cases seen at the Department of urology in the past 2 decades. patients usually present in the early post operative period with the problem of continuous urinary incontinence. On the rare occasion, recurrent urinary tract infection, recurrent gross painless haematuria, or secondary infertility associated with secondary amenorrhoea would be the presenting complaint.- - - - - - - - - - ranking = 0.71428571428571keywords = fistula (Clic here for more details about this article) |
9/84. Uterine fistula induced by hysteroscopic resection of an embolized migrated fibroid: a rare complication after embolization of uterine fibroids.OBJECTIVE: To describe a case in which hysteroscopic removal of a fibroid that had migrated through the uterine wall induced formation of a uterine fistula. DESIGN: After embolization of uterine fibroids, an investigative clinical, sonographic, and hysteroscopic protocol was followed. SETTING: Gynecologic clinic of a university hospital. PATIENT(S): A 38-year-old woman undergoing embolization of uterine arteries for uterine fibroids. INTERVENTION(S): angiography-guided transcatheter bilateral embolization of uterine arteries, with clinical, sonographic, and hysteroscopic follow-up. MAIN OUTCOME MEASURE(S): Patient morbidity and satisfactory intercourse. RESULT(S): Six months after embolization of the uterine arteries, the patient presented migration of the fibroid through the uterine wall. Hysteroscopic removal of the fibroid induced posthysteroscopic formation of a uterine fistula. CONCLUSION(S): After embolization of the uterine arteries, thorough follow-up examination of the uterine cavity is strictly recommended. diagnosis of a uterine wall perforation can identify an abnormal source of uterine bleeding, and patients should be counseled to avoid pregnancy until the lesion heals completely.- - - - - - - - - - ranking = 0.85714285714286keywords = fistula (Clic here for more details about this article) |
10/84. endometriosis arises from implant of endometriotic cells outside the uterus: a report of active vesicouterine centrifugal fistula.Vesicouterine fistula is rare, accounting for nearly 4% of all urogenital fistulas. Lower segment cesarean delivery is the main predisposing event but in the last few years other possible predisposing factors have been pointed out. Clinically, it can show itself in different forms and the diagnosis is often delayed although it is not difficult. We report our experience about a case of postcesarean vesicouterine fistula arising on a focus of vesical endometriosis and we discuss an eventual hypothetical pathogenetic correlation between bladder endometriosis and uterovesical fistula.- - - - - - - - - - ranking = 1.1428571428571keywords = fistula (Clic here for more details about this article) |
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