ISSN 2149-3235 | E-ISSN 2149-3057
Original Article
Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre
1 Department of Urology, King George Medical University, Lucknow, India  
2 Department of Gynecology and Obstretics, King George Medical University, Lucknow, India  
Turk J Urol 2017; 43: 512-516
DOI: 10.5152/tud.2017.45389
Key Words: Laparoscopic repair; menouria; pregnancy; vesicouterine fistula
Abstract

Objective: Vesicouterine fistula (VUF) is an uncommon cause of female genito-urinary fistula. Most of these fistulas are due to lower segment uterine cesarean section (LSCS). Traditionally, open surgical repair has been the traditional treatment. However, laparoscopic repair of VUF is a minimally invasive technique and few case reports have been published with short term follow up. In the present study, we are presenting our long- term outcome of laparoscopic repair of VUF.

 

Material and methods: A retrospective analysis of 8 patients with VUF was performed from 2010 to 2015. Approval of Institutional Review Committee was obtained. All had history of LSCS of whom 3 had history of prolonged obstructed labor. Radiological imaging included ultrasound of kidney, ureter and bladder for all patients and hysterosalphingography in 4 patients and contrast enhanced computed tomography scan in 4 patients.

 

Results: Median age of the patient was 25.5 years (range, 22-32), and median follow up was 2.3 years (range, 1 -4). The most common presentation was cyclical menstrual bleeding through urine (menouria) in all, associated amenorrhea in 6 and vaginal leakage of urine in 2 cases. All patients underwent laparoscopic repair with successful outcomes. The mean operating time was 155±14.5 min (range, 135-186 min) with a median blood loss of 100 mL (range, 50-210 mL). Successful pregnancy was completed in 2 patients and other patients were taking contraceptives.

 

Conclusion: Laparoscopic repair of VUF is a safe and effective minimally invasive technique with successful pregnancy in long- term follow up.

 

Cite this article as: Purkait B, Mehrotra S, Sinha RJ, Bhaskar V, Singh V Long-term outcome of laparoscopic vesicouterine fistula repair: Experience from a tertiary referral centre. Turk J Urol 2017; 43(4): 512-6.

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