Yokoyama Minato, Arisawa Chizuru, Ando Masao
Department of Urology, East Tokyo Metropolitan Hospital, Tokyo, Japan.
Int J Urol. 2006 Apr;13(4):457-9. doi: 10.1111/j.1442-2042.2006.01325.x.
Vesicouterine fistula is a rare complication of cesarean section. Although surgical repair was mandatory for the management of the fistula previously, a recent review showed high efficacy of hormonal manipulation by the induction of amenorrhea. Herein, we report a new case of vesicouterine fistula secondary to cesarean section successfully treated by luteinizing hormone-releasing hormone analog for 6 months. Conservative hormonal treatment for vesicouterine fistula caused by cesarean section should be considered before surgical repair.
膀胱子宫瘘是剖宫产术后一种罕见的并发症。尽管手术修复曾是治疗该瘘管的必要手段，但最近一项综述显示，通过诱导闭经进行激素治疗具有很高的疗效。在此，我们报告一例剖宫产术后继发膀胱子宫瘘的新病例，通过使用促黄体生成素释放激素类似物治疗6个月后成功治愈。在进行手术修复之前，应考虑对剖宫产所致膀胱子宫瘘进行保守激素治疗。
