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International Urogynecology Journal

, Volume 15, Issue 6, pp 434–435 | Cite as

Conservative management of vesicouterine fistula after uterine rupture

  • Joseph M. NoviEmail author
  • Marisa Rose
  • Alka Shaunik
  • Parvati Ramchandani
  • Mark A. Morgan
Case Report

Abstract

We report the closure of a vesicouterine fistula with conservative management utilizing an indwelling transurethral Foley catheter. Uterine rupture occurred during a trial of vaginal birth after cesarean section, necessitating an emergency cesarean section. Upon entry into the abdomen, the base of the bladder was noted to be involved in the uterine rupture. The bladder trigone and ureteral orifices appeared normal. A primary, two-layer bladder repair was performed. A cystogram on postoperative day 14 demonstrated a vesicouterine fistula. Conservative management involving bladder drainage for 21 days with a transurethral Foley catheter was successful in closure of the fistula.Vesicouterine fistula, a documented complication of uterine rupture due to attempted vaginal birth after previous cesarean section, can spontaneously resolve with conservative management alone.

Keywords

Spontaneous healing Uterine rupture Vesicouterine fistula 

Abbreviations

VBAC

Vaginal birth after cesarean section

References

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Copyright information

© International Urogynecological Association 2004

Authors and Affiliations

  • Joseph M. Novi
    • 1
    Email author
  • Marisa Rose
    • 1
  • Alka Shaunik
    • 1
  • Parvati Ramchandani
    • 1
  • Mark A. Morgan
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of Pennsylvania, 5 Penn TowerPhiladelphiaUSA

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