Turkish Journal of Urology
FEMALE UROLOGY - Case Report

Endoscopic repair of a vesicouterine fistula with the injection of microfragmented autologous adipose tissue (Lipogems®)

1.

Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy

2.

Department of Urology, IEO European Institute of Oncology, IRCCS, Milan, Italy

3.

University of Milan, Milan, Italy

4.

Department of Urology, Andrology Unit, St. Orsola University Hospital, Bologna, Italy

5.

IMAGE Institute, Milan, Italy

Turk J Urol 2020; 46: 398-402
DOI: 10.5152/tud.2020.20170
Read: 164 Downloads: 91 Published: 30 July 2020

Vesicouterine fistula (VUF) is a rare extra-anatomical communication developing between the uterus or cervix and the urinary bladder, most commonly after an iatrogenic injury during a cesarean section. Patients with VUF may have various clinical presentations, ranging from Youssef’s syndrome (vaginal urine leakage, amenorrhea, and menouria) to urinary tract infection and infertility. Quality of life for patients having this pathology is strongly affected owing to the psychological burden. Treatment is surgery based because low success rates have been reported for conservative or minimally invasive approaches. Herein, we present a case of a 35-year-old woman successfully treated by a minimally invasive endoscopic repair procedure with the injection of microfragmented autologous adipose tissue (Lipogems®).

Cite this article as: Spinelli M.G, Lorusso V, Palmisano F, Morelli M, Dell’Orto PG, Tremolada C, et al. Endoscopic repair of a vesicouterine fistula with the injection of microfragmented autologous adipose tissue (Lipogems®). Turk J Urol 2020; 46(5): 398-402.

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ISSN2149-3235 EISSN 2149-3057