Vesicouterine Fistel nach Sectio caesarea

Zusammenfassung

Vesikouterine Fisteln (VUF) sind seltene pathologische Verbindungen zwischen Uterus und Harnblase, die meist iatrogen nach Sectio caesarea auftreten. Wir präsentieren einen Fall einer VUF mit Makrohämaturie während der Menstruation (Menurie) als einzigem Symptom. Zur Differenzialdiagnose von anderen urogenitalen Fisteln sind genaue Kenntnisse der Symptomatik und des diagnostischen Algorithmus zur Detektion einer VUF unerlässlich.

Abstract

Vesicouterine fistulas (VUFs) are a pathological communication between uterus and urinary bladder, which are mainly related to iatrogenic lesions during caesarean sections or occur during vaginal deliveries after a previous caesarean section. The main symptoms are menstruation through the bladder (menouria), amenorrhea and urinary incontinence. Treatment can be conservative, hormonal or surgical; however, a spontaneous closure of the fistula is rare (5 %). We report a case of a female VUF with menouria after caesarean section with a successful surgical fistula excision. Based on this case report, we analyse the causes, symptoms, diagnostics and treatment of VUF as reported in the literature.

Schlüsselwörter

Vesikouterine Fistel - Menurie - Youssef’s Syndrom - Sectio caesarea - Inkontinenz

Keywords

vesicouterine fistula - menouria - Youssef’s syndrome - caesarean section - incontinence

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