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Vesicouterine fistula — an analysis of 24 cases from Poland
Author(s) -
Jóźwik M.,
Jóźwik M.,
Łotocki W.
Publication year - 1997
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(97)02837-3
Subject(s) - medicine , bladder injury , fistula , hysterectomy , medical record , retrospective cohort study , surgery , referral , cesarean delivery , general surgery , pregnancy , family medicine , biology , genetics
Objective: This study was undertaken to evaluate what clinical events or situations are currently associated with the occurrence of vesicouterine fistula. Method: A retrospective investigation was carried out on 24 patients treated in a tertiary referral center during a 12‐year period. Clinical data were collected from the patients directly, the medical records, urographic and/or cystoscopic findings before repair and intraoperative findings at repair. Results: All fistulas were iatrogenic, and 21 (87.5%) occurred following cesarean section or cesarean hysterectomy. Bladder injury occurred two times more often after repeat operations than after the primary. The proportion of repeat cesarean section resulting in a fistula was significantly increased (58.3% vs. 29.6%, P < 0.013) when compared to that previously reported. Conclusions: Cesarean sections are currently the single major risk factor associated with the occurrence of vesicouterine fistulas. Repeat procedures increase the risk of bladder injury and resultant fistulas.