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Hormonal dependence of fistulas communicating with the uterus

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Abstract

The conventional management of urogenital fistulas is surgical but a recent review of world data showed a high efficacy of hormonal manipulation by the induction of amenorrhea in the treatment of vesicouterine fistulas (VUFs). In fact, VUFs were first demonstrated to be hormonally regulated due to the fistulous canal being lined by endometrium. In this report, we suggest and discuss that, in women of reproductive age, the phenomenon of hormonal regulation is likely to be present in other fistulas communicating with the uterus, like ureterouterine and enterouterine fistulas.

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References

  1. Józwik M, Józwik M (2000) Clinical classification of vesicouterine fistula. Int J Gynaecol Obstet 70:353–357

    Article  PubMed  Google Scholar 

  2. Rubino SM (1977) Medical treatment of utero-vesical fistula. Lancet i(8017):900

    Article  Google Scholar 

  3. Józwik M, Józwik M (1998) Hormonal dependence of vesicouterine fistulas. Ginekol Pol 69:717–720

    PubMed  Google Scholar 

  4. Józwik M, Józwik M (1999) Spontaneous closure of vesicouterine fistula. Account for effective hormonal treatment. Urol Int 62:183–187

    Article  PubMed  Google Scholar 

  5. Hemal AK, Wadhwa SN, Kriplani A, Hemal U (1994) Youssef’s syndrome: an appraisal of hormonal treatment. Urol Int 52:55–57

    Article  PubMed  CAS  Google Scholar 

  6. Issa MM, Schmid H-P, Stamey TA (1994) Youssef’s syndrome: preservation of uterine function with subsequent successful pregnancy following surgical repair. Urol Int 52:220–222

    PubMed  CAS  Google Scholar 

  7. Nelson SK, Nelson S (1977) Congenital utero-vesical fistula: a case report. East Afr Med J 54:507–509

    PubMed  CAS  Google Scholar 

  8. Jozwik M, Jozwik M, Sulkowska M, Musiatowicz B, Sulkowski S (2004) The presence of sex hormone receptors in the vesicouterine fistula. Gynecol Endocrinol 18:37–40

    Article  PubMed  CAS  Google Scholar 

  9. Zieba Z, Kaczmarek J (1989) Endometriosis of the bladder and vesico-uterine fistula as complications of cesarean section. Ginekol Pol 60:297–299

    PubMed  CAS  Google Scholar 

  10. Lazarevski MB, Badiev B (1996) Obstetric ureterouterine fistula: a case report. Am J Obstet Gynecol 174:1657–1658

    Article  PubMed  CAS  Google Scholar 

  11. Lodh U, Kumar S, Arya MC, Tyagi A (1996) Ureterouterine fistula as a complication of an elective abortion. Aust N Z J Obstet Gynaecol 36:94–95

    PubMed  CAS  Google Scholar 

  12. Kaban FR, Khundad SS, Al-Bahrani ZR (1981) Colo-uterine fistula. An unusual case report and a literature review. Am J Proctol Gastroenterol Colon Rectal Surg 32:36–40

    PubMed  CAS  Google Scholar 

  13. Shaw FM, Reinus JF, Leikin EL, Tejani N (1995) Recurrent chorioamnionitis and second-trimester abortion because of an enterouterine fistula. Obstet Gynecol 86:639–641

    Article  PubMed  CAS  Google Scholar 

  14. Singh RB, Pavithran NM, Parameswaran RM, Sangwan K (2005) Chronic jejuno-uterine fistula: an unusual cause for recurrent second trimester abortions. Aust N Z J Obstet Gynaecol 45:533–534

    Article  PubMed  Google Scholar 

  15. Józwik M, Józwik M, Szamatowicz M (2003) Female fertility and the presence of urine in the genital tract: a brief appraisal. Int J Gynecol by Fax; II No. 31

  16. Le Mer A (1968) Fistule vésico-utérine après basiotrypsie. Cure chirurgicale. Guérison (à propos d’un cas). J Urol Nephrol (Paris) 74:481–483

    Google Scholar 

  17. Molina LR, Lynne CM, Politano VA (1989) Treatment of vesicouterine fistula by fulguration. J Urol 141:1422–1423

    PubMed  CAS  Google Scholar 

  18. Shafik A (1996) Non-surgical repair of rectovaginal fistulae. Eur J Obstet Gynecol Reprod Biol 67:17–20

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Gynecology, Medical University of Bialystok, Sklodowskiej-Curie 24 A, Bialystok, 15-276, Poland

    Maciej Józwik

  2. Department of Reproduction and Gynecologic Endocrinology, Medical University of Bialystok, Sklodowskiej-Curie 24 A, Bialystok, 15-276, Poland

    Marcin Józwik

Authors
  1. Maciej Józwik
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  2. Marcin Józwik
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Correspondence to Maciej Józwik.

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Józwik, M., Józwik, M. Hormonal dependence of fistulas communicating with the uterus. Int Urogynecol J 18, 719–720 (2007). https://doi.org/10.1007/s00192-007-0311-2

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  • DOI: https://doi.org/10.1007/s00192-007-0311-2

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