IMR Press / CEOG / Volume 43 / Issue 1 / DOI: 10.12891/ceog2041.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula
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1 Departments of Obstetrics and Gynecology, King Abdulaziz University, Jeddah (Kingdom of Saudi Arabia)
2 Radiology, King Abdulaziz University, Jeddah (Kingdom of Saudi Arabia)
Clin. Exp. Obstet. Gynecol. 2016, 43(1), 143–145; https://doi.org/10.12891/ceog2041.2016
Published: 10 February 2016
Abstract

Surgery, the usual treatment option for vesicouterine fistula (VUF), is often delayed to allow involution of the uterus. The authors report a case of successful treatment with urinary catheterization.A 39-year-old, gravida 7, para 6, woman presented at term with obstructed labor. She had one previous cesarean section followed by a vaginal birth before. She underwent emergency cesarean section. She was readmitted after one week because of pelvic collection. Aspiration revealed pus and urine. Retrograde cystogram and pelvic MRI confirmed the presence of VUF. Urinary bladder catheterization for six weeks resulted in the successful treatment of the fistula. Urinary catheterization in the early postpartum period can result in resolution of post-cesarean section VUF, without delaying surgical intervention if it becomes necessary.
Keywords
Urinary catheterization
Vesicouterine fistula
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