Rare cases of vesicouterine fistula

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-03-27 DOI:10.1111/luts.12440

Maulidina Medika Rahmita, Arry Rodjani, Irfan Wahyudi, Fina Widia

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引用次数: 2

Abstract

Case

Vesicouterine fistula (VUF) is the rarest form of genitourinary fistulas. As lower-segment cesarean section becomes a more common mode of delivery, they have become the leading cause of VUF formation. We present four VUF patients with varied symptoms such as menouria, amenorrhea, with or without urinary incontinence. We diagnosed all of our cases through cystoscopy in conjunction with methylene blue dye test or hysteroscopy.

Outcome

We successfully repaired VUF in three open surgery instances and one laparoscopic case. To diagnose VUF, cystoscopy and hysteroscopy are still the gold standard. An expert surgeon's open or laparoscopic repair is effective and safe. The patients no longer experienced incontinence, cyclical hematuria (menouria), discomfort, or sexual dysfunction.

Conclusion

Cystoscopy and hysteroscopy remain the gold standard tool in diagnosing VUF. Open or laparoscopic repair performed by an experienced surgeon is an effective and safe technique with a successful outcome.

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膀胱外瘘罕见病例

膀胱外瘘(VUF)是泌尿生殖系统瘘最罕见的形式。随着下段剖宫产成为一种更常见的分娩方式，它们已成为VUF形成的主要原因。我们报告了4例有不同症状的VUF患者，如痛经、闭经、伴或不伴尿失禁。我们通过膀胱镜检查结合亚甲基蓝染色试验或宫腔镜诊断所有病例。结果3例开腹手术和1例腹腔镜手术成功修复VUF。诊断VUF，膀胱镜和宫腔镜仍然是金标准。专家外科医生的开放或腹腔镜修复是有效和安全的。患者不再出现尿失禁、周期性血尿、不适或性功能障碍。结论膀胱镜和宫腔镜仍是诊断VUF的金标准工具。由经验丰富的外科医生进行的开放或腹腔镜修复是一种有效且安全的技术，效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.