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
