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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132

Abstract

REATEGUI, Rosa et al. Vesicouterine fistula with two fistulous tracts: case report. Rev Per Ginecol obstet. [online]. 2013, vol.59, n.2, pp.139-142. ISSN 2304-5132.

A case of vesicouterine fistula in a 39 year-old woman who had been subjected to second segmental cesarean section is reported. The fistulous tract was repaired vaginally, but vaginal mucous secretion appeared on the third week. Hysterosonography showed contrast medium passage from isthmus to bladder. By laparotomy the uterus was individualized from the bladder, the fistulous tract was removed at the uterine isthmus and closed in two layers. Result after the second surgical intervention was satisfactory. The patient was asymptomatic 24 months post surgery.

Keywords : Vesicouterine fistula; hysterosonography; urinary incontinence; menouria.

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