vesicouterine fistula
An abnormal communication between the bladder and uterus, typically resulting from surgical trauma or obstetric injury.
Full Definition
A vesicouterine fistula is an abnormal connection between the bladder and uterus that creates a pathway for urine to flow into the uterine cavity. This rare type of urogenital fistula most commonly results from cesarean section complications, particularly in cases of placenta accreta or repeat cesarean deliveries. Patients typically present with cyclic hematuria (blood in urine during menstruation) and may have urinary incontinence. Diagnosis is confirmed through cystoscopy, hysterosalpingography, or CT urography. Treatment usually requires surgical repair, which may involve transvesical, transabdominal, or combined approaches depending on fistula characteristics.
Usage
Usage note: Often presents with characteristic cyclic hematuria; distinguish from other fistula types.
In Context
- "The patient developed a vesicouterine fistula following cesarean delivery complicated by placenta accreta." — Complication report
- "Cystoscopy revealed a small vesicouterine fistula at the bladder dome near the uterine fundus." — Diagnostic procedure note