A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report

Vesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We describe the diagnostic methods used and the surgical treatment used to resolve the case. A 30-year-...

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Main Authors: Radu Viorel Dragos, Costache Radu Cristian, Onofriescu Mircea, Morosanu Corneliu, Onofrei Pavel, Bobeica Razvan Lucian, Tanasa Vasilache Ingrid, Tanase Adina, Popescu Dan
Format: Article
Language:English
Published: Mary Ann Liebert 2024-01-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0121
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author Radu Viorel Dragos
Costache Radu Cristian
Onofriescu Mircea
Morosanu Corneliu
Onofrei Pavel
Bobeica Razvan Lucian
Tanasa Vasilache Ingrid
Tanase Adina
Popescu Dan
author_facet Radu Viorel Dragos
Costache Radu Cristian
Onofriescu Mircea
Morosanu Corneliu
Onofrei Pavel
Bobeica Razvan Lucian
Tanasa Vasilache Ingrid
Tanase Adina
Popescu Dan
author_sort Radu Viorel Dragos
collection DOAJ
description Vesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We describe the diagnostic methods used and the surgical treatment used to resolve the case. A 30-year-old woman presented to the gynecology clinic with urinary incontinence that occurred 5 days postoperatively after a cesarean section. The diagnosis was made on the basis of computed tomography and cystoscopy. Treatment was surgical and consisted of excision of the fistula and suturing of the bladder and uterine wall, without interposition of the omentum. Postoperative evolution was uneventful. When the urethral catheter was removed on the 14th postoperative day, the patient presented spontaneous micturition without vaginal urine leakage. In the context of urinary incontinence after cesarean section, although it is a rare complication, we must consider the occurrence of a VUF.
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spelling doaj.art-7f863d5e5824429186ae098b309de3d12024-01-26T06:07:35ZengMary Ann LiebertWomen's Health Reports2688-48442024-01-01513710.1089/WHR.2023.0121A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case ReportRadu Viorel DragosCostache Radu CristianOnofriescu MirceaMorosanu CorneliuOnofrei PavelBobeica Razvan LucianTanasa Vasilache IngridTanase AdinaPopescu DanVesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We describe the diagnostic methods used and the surgical treatment used to resolve the case. A 30-year-old woman presented to the gynecology clinic with urinary incontinence that occurred 5 days postoperatively after a cesarean section. The diagnosis was made on the basis of computed tomography and cystoscopy. Treatment was surgical and consisted of excision of the fistula and suturing of the bladder and uterine wall, without interposition of the omentum. Postoperative evolution was uneventful. When the urethral catheter was removed on the 14th postoperative day, the patient presented spontaneous micturition without vaginal urine leakage. In the context of urinary incontinence after cesarean section, although it is a rare complication, we must consider the occurrence of a VUF.https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0121vesicouterine fistulaurinary incontinencecesarean section
spellingShingle Radu Viorel Dragos
Costache Radu Cristian
Onofriescu Mircea
Morosanu Corneliu
Onofrei Pavel
Bobeica Razvan Lucian
Tanasa Vasilache Ingrid
Tanase Adina
Popescu Dan
A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
Women's Health Reports
vesicouterine fistula
urinary incontinence
cesarean section
title A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
title_full A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
title_fullStr A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
title_full_unstemmed A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
title_short A Rare Cause of Urinary Incontinence: Vesicouterine Fistula?A Case Report
title_sort rare cause of urinary incontinence vesicouterine fistula a case report
topic vesicouterine fistula
urinary incontinence
cesarean section
url https://www.liebertpub.com/doi/full/10.1089/WHR.2023.0121
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