Köyceğiz State Hospital, Gelişim Mah. Köyceğiz, 48800 Muğla, Turkey.
Arch Gynecol Obstet. 2012 Mar;285(3):667-70. doi: 10.1007/s00404-011-2188-z. Epub 2012 Jan 8.
The objective is to present a case with vesicouterine fistula after cesarean section.
A 27-year-old female patient, G2P2, was admitted to hospital with the complaint of severe crampy pelvic pain and dysuria during micturition without any incontinence. She had two cesarean sections, last was 14 months before admission. Her urinalysis revealed microscopic hematuria. Diagnosis of uterovesical fistula suspected by transvaginal ultrasonography and diagnosed by hysterography. Vesicouterine fistula operated by transperitoneal approach without any complication.
Increasing cesarean section rates concomitantly carries increasing maternal and neonatal adverse outcomes including operative complications as genitourinary fistulae.
介绍一例剖宫产术后发生膀胱子宫瘘的病例。
一名 27 岁女性患者，G2P2，因严重痉挛性骨盆痛和排尿时尿痛但无尿失禁而入院。她曾进行过两次剖宫产，上次剖宫产是在入院前 14 个月。她的尿液分析显示镜下血尿。经阴道超声检查怀疑为子宫膀胱瘘，子宫造影术确诊。经腹腔途径手术治疗膀胱子宫瘘，无任何并发症。
剖宫产率的增加伴随着越来越多的母婴不良后果，包括泌尿生殖瘘等手术并发症。
