Department of Urology, Cipto Mangunkusumo National Hospital, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Low Urin Tract Symptoms. 2022 Sep;14(5):401-404. doi: 10.1111/luts.12440. Epub 2022 Mar 27.
Vesicouterine fistula (VUF) is the rarest form of genitourinary fistulas. As lower-segment cesarean section becomes a more common mode of delivery, they have become the leading cause of VUF formation. We present four VUF patients with varied symptoms such as menouria, amenorrhea, with or without urinary incontinence. We diagnosed all of our cases through cystoscopy in conjunction with methylene blue dye test or hysteroscopy.
We successfully repaired VUF in three open surgery instances and one laparoscopic case. To diagnose VUF, cystoscopy and hysteroscopy are still the gold standard. An expert surgeon's open or laparoscopic repair is effective and safe. The patients no longer experienced incontinence, cyclical hematuria (menouria), discomfort, or sexual dysfunction.
Cystoscopy and hysteroscopy remain the gold standard tool in diagnosing VUF. Open or laparoscopic repair performed by an experienced surgeon is an effective and safe technique with a successful outcome.
膀胱阴道瘘（VUF）是泌尿生殖道瘘中最罕见的一种。随着下段剖宫产术成为一种更为常见的分娩方式，其已成为 VUF 形成的主要原因。我们报告了 4 例 VUF 患者，其症状各不相同，如月经初潮、闭经，伴有或不伴有尿失禁。我们通过膀胱镜检查联合亚甲蓝染料试验或宫腔镜检查诊断了所有病例。
我们成功地在 3 例开放性手术和 1 例腹腔镜手术中修复了 VUF。诊断 VUF 的金标准仍然是膀胱镜和宫腔镜检查。经验丰富的外科医生进行的开放性或腹腔镜修复是一种有效且安全的方法，患者不再出现失禁、周期性血尿（月经初潮）、不适或性功能障碍。
膀胱镜和宫腔镜仍然是诊断 VUF 的金标准工具。经验丰富的外科医生进行的开放性或腹腔镜修复是一种有效且安全的技术，具有良好的治疗效果。
