Document Detail


Vesicouterine fistula presenting with urinary incontinence after primary cesarean section: a case report.
MedLine Citation:
PMID:  18210902     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vesicouterine fistula is a rare complication most commonly associated with cesarean section. Though conservative management has been reported, surgical intervention is usually required to treat the condition. CASE: A 32-year-old woman presented with urinary incontinence following a primary cesarean section; it was initially thought to be a vesicovaginal fistula. Careful evaluation and a high index of suspicion resulted in the correct diagnosis of a vesicouterine fistula. The patient was successfully treated with uterus-sparing surgery. CONCLUSION: This case illustrates the importance of a comprehensive evaluation of all patients suspected of having a urogenital fistula. A thorough workup led to the correct diagnosis of vesicouterine fistula and allowed the surgeons to plan the appropriate operative strategy in managing the patient.
Authors:
Mark L Mokrzycki; Brittany Star Hampton
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-23     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1107-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Saint Peter's University Hospital, New Brunswick, New Jersey 08901, USA. mmokrzycki@saintpetersuh.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Cesarean Section / adverse effects*
Diagnosis, Differential
Female
Fistula / diagnosis,  etiology*,  surgery
Humans
Pregnancy
Treatment Outcome
Urinary Bladder Fistula / diagnosis,  etiology*,  surgery
Urinary Incontinence / diagnosis,  etiology*,  surgery
Uterine Diseases / diagnosis,  etiology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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