Obstetrics & Gynecology

Skip Navigation LinksHome > February 2010 - Volume 115 - Issue 2, Part 2 > Vesico-Uterine Fistula After Endometrial Ablation in a Woman...

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e3181c846eb
Case Reports

Vesico-Uterine Fistula After Endometrial Ablation in a Woman With Prior Cesarean Deliveries

Rooney, Kristin E. MD; Cholhan, Hilary J. MD

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Abstract

BACKGROUND: Impedance-controlled endometrial ablation is a common procedure for menorrhagia in premenopausal women with relatively few contraindications.

CASE: A 54-year-old woman with an obstetric history significant for three prior low transverse cesarean deliveries reported a constant drip of urine from the vagina beginning approximately 2 weeks after impedance-controlled endometrial ablation for menorrhagia. Evaluation confirmed a vesico-uterine fistula in the area of the prior cesarean delivery scars. The patient underwent a successful repair of the fistula using the abdominal approach.

CONCLUSION: Vesico-uterine fistula may be associated with impedance-controlled endometrial ablation in women with prior low transverse cesarean deliveries.

© 2010 The American College of Obstetricians and Gynecologists

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