Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section
<b>Background and Clinical Significance</b>: A vesicocervical fistula is an abnormal connection between the urinary tract and the cervix. With the increased prevalence of cesarean sections in recent years, the incidence of vesicocervical fistulas has also increased. The objective of this...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-04-01
|
| Series: | Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2571-841X/8/2/46 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850164959659425792 |
|---|---|
| author | Philipp Meyer-Wilmes Tomáš Kupec Julia Wittenborn Elmar Stickeler Laila Najjari |
| author_facet | Philipp Meyer-Wilmes Tomáš Kupec Julia Wittenborn Elmar Stickeler Laila Najjari |
| author_sort | Philipp Meyer-Wilmes |
| collection | DOAJ |
| description | <b>Background and Clinical Significance</b>: A vesicocervical fistula is an abnormal connection between the urinary tract and the cervix. With the increased prevalence of cesarean sections in recent years, the incidence of vesicocervical fistulas has also increased. The objective of this study was to evaluate the available evidence regarding the laparoscopic approach and to present a case study of a patient who underwent minimally invasive repair of a vesicocervical fistula after vacuum delivery. <b>Case Presentation</b>: A 32-year-old mother was admitted to our center with symptoms of urine leakage through the cervix uteri 5 days after vacuum-assisted delivery. In particular, the patient had recently undergone a vacuum-assisted delivery and cesarean section. A positive methylene blue staining test and transvaginal ultrasonography demonstrated an anatomical connection between the bladder and the cervix. Surgical repair of the vesicocervical fistula was performed under general anesthesia and a Foley catheter was inserted for 7 days. Urodynamic studies conducted seven days postoperative and six weeks post-surgery showed normal bladder function and capacity. <b>Conclusions</b>: Early detection and surgical correction of vesicocervical fistulas using a minimally invasive approach is crucial for the treatment of this condition. This case report emphasizes the importance of considering vesicocervical fistulas, particularly in patients with a history of cesarean section who have undergone vacuum-assisted delivery. |
| format | Article |
| id | doaj-art-e80c10746e84406fb877dfb2f9bab534 |
| institution | OA Journals |
| issn | 2571-841X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj-art-e80c10746e84406fb877dfb2f9bab5342025-08-20T02:21:50ZengMDPI AGReports2571-841X2025-04-01824610.3390/reports8020046Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean SectionPhilipp Meyer-Wilmes0Tomáš Kupec1Julia Wittenborn2Elmar Stickeler3Laila Najjari4Department of Obstetrics and Gynecology, University Hospital of RWTH Aachen, 52074 Aachen, GermanyDepartment of Obstetrics and Gynecology, University Hospital of RWTH Aachen, 52074 Aachen, GermanyDepartment of Obstetrics and Gynecology, University Hospital of RWTH Aachen, 52074 Aachen, GermanyDepartment of Obstetrics and Gynecology, University Hospital of RWTH Aachen, 52074 Aachen, GermanyDepartment of Obstetrics and Gynecology, University Hospital of RWTH Aachen, 52074 Aachen, Germany<b>Background and Clinical Significance</b>: A vesicocervical fistula is an abnormal connection between the urinary tract and the cervix. With the increased prevalence of cesarean sections in recent years, the incidence of vesicocervical fistulas has also increased. The objective of this study was to evaluate the available evidence regarding the laparoscopic approach and to present a case study of a patient who underwent minimally invasive repair of a vesicocervical fistula after vacuum delivery. <b>Case Presentation</b>: A 32-year-old mother was admitted to our center with symptoms of urine leakage through the cervix uteri 5 days after vacuum-assisted delivery. In particular, the patient had recently undergone a vacuum-assisted delivery and cesarean section. A positive methylene blue staining test and transvaginal ultrasonography demonstrated an anatomical connection between the bladder and the cervix. Surgical repair of the vesicocervical fistula was performed under general anesthesia and a Foley catheter was inserted for 7 days. Urodynamic studies conducted seven days postoperative and six weeks post-surgery showed normal bladder function and capacity. <b>Conclusions</b>: Early detection and surgical correction of vesicocervical fistulas using a minimally invasive approach is crucial for the treatment of this condition. This case report emphasizes the importance of considering vesicocervical fistulas, particularly in patients with a history of cesarean section who have undergone vacuum-assisted delivery.https://www.mdpi.com/2571-841X/8/2/46vesicocervical fistulaminimally invasive surgerypostpartum repair |
| spellingShingle | Philipp Meyer-Wilmes Tomáš Kupec Julia Wittenborn Elmar Stickeler Laila Najjari Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section Reports vesicocervical fistula minimally invasive surgery postpartum repair |
| title | Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section |
| title_full | Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section |
| title_fullStr | Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section |
| title_full_unstemmed | Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section |
| title_short | Minimally Invasive Surgery for Vesicocervical Fistula Following Vacuum-Assisted Delivery with History of Cesarean Section |
| title_sort | minimally invasive surgery for vesicocervical fistula following vacuum assisted delivery with history of cesarean section |
| topic | vesicocervical fistula minimally invasive surgery postpartum repair |
| url | https://www.mdpi.com/2571-841X/8/2/46 |
| work_keys_str_mv | AT philippmeyerwilmes minimallyinvasivesurgeryforvesicocervicalfistulafollowingvacuumassisteddeliverywithhistoryofcesareansection AT tomaskupec minimallyinvasivesurgeryforvesicocervicalfistulafollowingvacuumassisteddeliverywithhistoryofcesareansection AT juliawittenborn minimallyinvasivesurgeryforvesicocervicalfistulafollowingvacuumassisteddeliverywithhistoryofcesareansection AT elmarstickeler minimallyinvasivesurgeryforvesicocervicalfistulafollowingvacuumassisteddeliverywithhistoryofcesareansection AT lailanajjari minimallyinvasivesurgeryforvesicocervicalfistulafollowingvacuumassisteddeliverywithhistoryofcesareansection |