SciELO - Scientific Electronic Library Online

vol.27 issue9Outcome analysis for surgical treatment of stress urinary incontinence in our settingUreteroenteric anastomoses: Our experience. The simpliest, the best author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Actas Urológicas Españolas

Print version ISSN 0210-4806


BONILLO GARCIA, M.A. et al. Vesicouterine fistulae: 25 years of our experience . Actas Urol Esp [online]. 2003, vol.27, n.9, pp.707-712. ISSN 0210-4806.

OBJECTIVE: To determine the current state of vesicouterine fistulae in our hospital, the factors associated with their development and the findings obtained from the treatments used. MATERIAL AND METHODS: We carry out a retrospective study on a group of patients suffering from vesicouterine fistulae who were treated in our service for the last 25 years with a 2 year minimum follow-up. RESULTS: 6 cases of vesicouterine fistulae were evaluated. In 83,3% (5/6) of the cases occurred following caesarean section. The average age of the patients was 36,5 years old. In 50% of the cases, urinary incontinence immediately after surgery determined an early diagnosis. In 5 patients deferred abdominal surgical approach was carried out. All of the patients remained asymptomatic during the follow-up years. Two pregnancies were recorded 24 months after repair with a full term delivery. CONCLUSIONS: The vesicouterine fistula, despite being infrequent, is no longer an exceptional diagnosis. Currently, the low segmentarian caesareans constitute the major isolated risk factor for fistula development. We recommend a deferred surgical repair without discarding a conservative approach for those cases of small and early fistula.

Keywords : Vesicouterine fistulae; Caesarean section; Urinary incontinence.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License