Abstract
We report the closure of a vesicouterine fistula with conservative management utilizing an indwelling transurethral Foley catheter. Uterine rupture occurred during a trial of vaginal birth after cesarean section, necessitating an emergency cesarean section. Upon entry into the abdomen, the base of the bladder was noted to be involved in the uterine rupture. The bladder trigone and ureteral orifices appeared normal. A primary, two-layer bladder repair was performed. A cystogram on postoperative day 14 demonstrated a vesicouterine fistula. Conservative management involving bladder drainage for 21 days with a transurethral Foley catheter was successful in closure of the fistula.Vesicouterine fistula, a documented complication of uterine rupture due to attempted vaginal birth after previous cesarean section, can spontaneously resolve with conservative management alone.
Similar content being viewed by others
Abbreviations
- VBAC:
-
Vaginal birth after cesarean section
References
Webb JC, Gilson G, Gordon L (2000) Late second stage rupture of the uterus and bladder with vaginal birth after cesarean section: a case report and review of the literature. J Matern Fetal Med 9:362–365
Yip S, Leung T (1998) Vesicouterine fistula: an updated review. Int Urogynecol J 9:252–256
Mc Mohan MJ (1998) Vaginal birth after cesarean. Clin Obstet Gynecol 41:369–381
Jozwik M, Jozwik M (1999) Spontaneous closure of vesicouterine fistula. Account for effective hormonal treatment. Urol Int 62:183–187
Gil A, Sultana C (2001) Vesicouterine fistula after vacuum delivery and two previous cesarean sections: A case report. J Reprod Med 46:853–855
Thompson JD (1997) Vesicovaginal and urethrovaginal fistulas. In: Rock JA, Thompson JD, eds. TeLinde’s operative gynecology, 11th edn. Philadelphia, Lippincott-Raven, pp 1179
Wahle GR, Young GPH, Raz S (1996) Complications of vaginal surgery. In: Raz S, ed. Female urology, 2nd edn. Philadelphia, WB Saunders, pp 618–619
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Novi, J.M., Rose, M., Shaunik, A. et al. Conservative management of vesicouterine fistula after uterine rupture. Int Urogynecol J 15, 434–435 (2004). https://doi.org/10.1007/s00192-004-1165-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-004-1165-5