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Laparoscopic Repair of Vesicouterine Fistula

Unger, Cecile A. MD, MPH*; Cohen, Sarah L. MD; Einarsson, Jon I. MD; Morse, Abraham N. MD, MBA

Female Pelvic Medicine & Reconstructive Surgery: May/June 2012 - Volume 18 - Issue 3 - p 190–192
doi: 10.1097/SPV.0b013e318254f088
Case Reports

Background: Vesicouterine fistulae are the least common type of urogenital fistulae found in women and are often the result of inadvertent bladder injury at the time of cesarean delivery. Few case reports exist on the management and repair of these fistulae.

Case: A 41-year-old woman with a history of three cesarean deliveries with persistent urinary incontinence who underwent laparoscopic repair of a vesicouterine fistula.

Conclusion: Whereas in the past, these fistulae were predominantly repaired via a transvaginal or abdominal approach, vesicouterine fistulae can be successfully repaired endoscopically.

A case of vesicouterine fistula and successful laparoscopic management is presented.

From the *Department of Obstetrics and Gynecology, †Division of Minimally Invasive Gynecology Surgery, Department of Obstetrics and Gynecology, and ‡Division of Urogynecology, Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, MA.

Reprints: Cecile A. Unger, MD, MPH, Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115. E-mail: cunger@partners.org.

The authors declare that they have nothing to disclose.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins