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Actas Urológicas Españolas

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MEDINA RAMOS, N. et al. Vesicouterine fistula: a rare complication of caesarean section birth. Actas Urol Esp [online]. 2003, vol.27, n.3, pp.244-247. ISSN 0210-4806.

We present the case of a vesicouterine fístula secondary to a caesarean section indicated due to the disproportion the pelvis and the head of the baby. This kind of fístula is due fundamentally to obstetric causes, especially to caesarean sections in developed countries and to prolonged labour in developing contries. The commonest clinical presentation is urinary incontinence in the form of continuous or intermittent urinary leaks. Surgical treatment is generally the therapy of choice, although, in the case of small fistulas, conservative treatment is feasible. The best form of prevention is correct indication of caesareean section and careful surgical technique.

Keywords : Vesicouterina fistula; Etiology; Surgical treatment.

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