NDLI: Les fistules vésico-utérines: une expérience de 17 ans.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Drissi, M. Karmouni, T. Tazi, K. El Khader, K. Koutani, A. Ibn Attya, A. Hachimi, M.
Description	Country affiliation: Morocco Author Affiliation: Drissi M ( Service d'urologie B, CHU Ibn-Sina, Rabat, Maroc. mounirusdoc@yahoo.fr)
Abstract	OBJECTIVE: To discuss the diagnostic and the prognostic problems of vesicouterine fistulas (VUF) emphasizing on the therapeutic characteristics that lead to successful treatment. MATERIALS AND METHODS: The authors retrieve retrospective series of 16 cases, collected between 1989 and June 2006, and they analyze the clinical, diagnostic and therapeutic aspects. RESULTS: The patients were young (29-40 years) with an average having three children. Cesarean was the most frequent etiology. The presentation symptoms were hematuria (in five cases), a urinary incontinence through the vagina (in eight cases) and both of them (in three cases). The diagnosis was suspected from the history and confirmed by the additional analyses. The treatment was surgical (excision of the fistulas) in 15 cases with an average follow-up of 2.5 years, the results on the functional aspect were satisfactory hence they were marked by the absence of urinary incontinence as well as the hematuria. On the obstetric aspect, the occurrence of pregnancy was noted in a patient at four years post-VUF repair. CONCLUSION: Vesicouterine fistulas are not very frequent and most often secondary to a cesarean or to consequences of difficult delivery. The treatment is essentially preventive by improving the obstetrical techniques through avoiding the bladder injuries during the cesareans.
File Format	HTM / HTML
ISSN	11667087
Issue Number	3
Volume Number	18
Journal	Progr`es en Urologie
Language	French
Publisher	Elsevier
Publisher Date	2008-03-01
Publisher Place	France
Access Restriction	Subscribed
Subject Keyword	Adverse Effects Discipline Urology Hematuria Humans Middle Aged Fistula Obstetric Labor Complications Urinary Bladder Fistula English Abstract Journal Article Pregnancy Cesarean Section Uterine Diseases Etiology Surgery Adult Female Retrospective Studies Diagnosis Urinary Incontinence
Alternative Title	Vesicouterine fistulas: an experience of 17 years
Content Type	Text
Resource Type	Article
Subject	Urology

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