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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2009 December;22(6):269-71
Vesicouterine fistula as a complication of Caesarean section
Paternoster D. M., Riboni F., Merati E., Stella A., Volpe A., Terrone F.
1 Clinica Ginecologia e Ostetrica, Università del Piemonte Orientale “A. Avogardo”, Ospedale Maggiore della Carità, Novara, Italia
2 Clinica Urologia, Università del Piemonte Orientale “A. Avogardo”, Ospedale Maggiore della Carità, Novara, Italia
Vesicouterine fistulas are generally triggered by: obstetrical causes, surgery, radiotherapy, intravaginal or intravesical foreign bodies. We report the clinical case of a patient who, subsequent to Caesarean section, developed vesicouterine fistula and endometriosis of the vesicouterine ligament. Vesicouterine fistulas are rare pathologies but rarest are genito-urinary fistulas, which are generally complications of Caesarean section. Patients with vesicouterine fistulas present urinary incontinence in the postoperative period but even years later may present cyclic hematuria, amenorrhea, vaginal losses of urine, infections of the urinary ways and secondary infertility. Fistulas may determine urological damage with impairment of vesical function; damage to the reproductive organs with impaired patient fertility; the onset of endometriosis in the vesicouterine ligament affecting the relational sphere and sexual relations.