Cargando…

Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature

Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. Th...

Descripción completa

Detalles Bibliográficos
Autores principales: Symeonidis, Evangelos N., Sdralis, Elias, Symeonidis, Asterios, Georgiadis, Christos, Kalyvas, Vasileios, Malioris, Apostolos, Papathanasiou, Michail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220400/
https://www.ncbi.nlm.nih.gov/pubmed/30473897
http://dx.doi.org/10.1155/2018/2394896
_version_ 1783368822186573824
author Symeonidis, Evangelos N.
Sdralis, Elias
Symeonidis, Asterios
Georgiadis, Christos
Kalyvas, Vasileios
Malioris, Apostolos
Papathanasiou, Michail
author_facet Symeonidis, Evangelos N.
Sdralis, Elias
Symeonidis, Asterios
Georgiadis, Christos
Kalyvas, Vasileios
Malioris, Apostolos
Papathanasiou, Michail
author_sort Symeonidis, Evangelos N.
collection PubMed
description Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion. Quality of life (QoL) for patients having this pathology is strongly affected due to the psychological burden. Surgical excision of the fistula remains the mainstay of treatment, as less than 5% of patients respond to conservative therapy. Recently laparoscopic and robotic-assisted VUF repair started gaining ground with comparable results to open surgery. Herein, we presented the successful delayed surgical repair of VUF in a 32-year-old female patient. A review of the published literature was also performed, summarizing all the available evidence regarding this rare clinical entity.
format Online
Article
Text
id pubmed-6220400
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-62204002018-11-25 Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature Symeonidis, Evangelos N. Sdralis, Elias Symeonidis, Asterios Georgiadis, Christos Kalyvas, Vasileios Malioris, Apostolos Papathanasiou, Michail Case Rep Obstet Gynecol Case Report Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion. Quality of life (QoL) for patients having this pathology is strongly affected due to the psychological burden. Surgical excision of the fistula remains the mainstay of treatment, as less than 5% of patients respond to conservative therapy. Recently laparoscopic and robotic-assisted VUF repair started gaining ground with comparable results to open surgery. Herein, we presented the successful delayed surgical repair of VUF in a 32-year-old female patient. A review of the published literature was also performed, summarizing all the available evidence regarding this rare clinical entity. Hindawi 2018-10-24 /pmc/articles/PMC6220400/ /pubmed/30473897 http://dx.doi.org/10.1155/2018/2394896 Text en Copyright © 2018 Evangelos N. Symeonidis et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Symeonidis, Evangelos N.
Sdralis, Elias
Symeonidis, Asterios
Georgiadis, Christos
Kalyvas, Vasileios
Malioris, Apostolos
Papathanasiou, Michail
Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title_full Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title_fullStr Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title_full_unstemmed Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title_short Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
title_sort vesicouterine fistula (vuf) as a rare urogenital complication managed with delayed surgical repair: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220400/
https://www.ncbi.nlm.nih.gov/pubmed/30473897
http://dx.doi.org/10.1155/2018/2394896
work_keys_str_mv AT symeonidisevangelosn vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT sdraliselias vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT symeonidisasterios vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT georgiadischristos vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT kalyvasvasileios vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT maliorisapostolos vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature
AT papathanasioumichail vesicouterinefistulavufasarareurogenitalcomplicationmanagedwithdelayedsurgicalrepairacasereportandreviewoftheliterature