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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (1): 143-145    DOI: 10.12891/ceog2041.2016
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Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula
A.A. Rouzi1, *(), N. Sahly1, N. Mansouri1, K. Khashoggi2, L. Ashkar2
1Departments of Obstetrics and Gynecology, King Abdulaziz University, Jeddah (Kingdom of Saudi Arabia)
2Radiology, King Abdulaziz University, Jeddah (Kingdom of Saudi Arabia)
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Abstract  
Surgery, the usual treatment option for vesicouterine fistula (VUF), is often delayed to allow involution of the uterus. The authors report a case of successful treatment with urinary catheterization.A 39-year-old, gravida 7, para 6, woman presented at term with obstructed labor. She had one previous cesarean section followed by a vaginal birth before. She underwent emergency cesarean section. She was readmitted after one week because of pelvic collection. Aspiration revealed pus and urine. Retrograde cystogram and pelvic MRI confirmed the presence of VUF. Urinary bladder catheterization for six weeks resulted in the successful treatment of the fistula. Urinary catheterization in the early postpartum period can result in resolution of post-cesarean section VUF, without delaying surgical intervention if it becomes necessary.
Key words:  Urinary catheterization      Vesicouterine fistula     
Published:  10 February 2016     
*Corresponding Author(s):  A.A. ROUZI     E-mail:  aarouzi@gmail.com

Cite this article: 

A.A. Rouzi, N. Sahly, N. Mansouri, K. Khashoggi, L. Ashkar. Urinary catheterization as a successful treatment option for post-cesarean section vesicouterine fistula. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(1): 143-145.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog2041.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I1/143

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