Title |
Vesicouterine fistula: teaching video on diagnosis and surgical treatment
|
---|---|
Published in |
International Urogynecology Journal & Pelvic Floor Dysfunction, November 2016
|
DOI | 10.1007/s00192-016-3198-y |
Pubmed ID | |
Authors |
Pilar Marin-Sanchez, Maria Luisa Sánchez-Ferrer, Clara Garrido-Navarro, Antonio Prieto-Gonzalez, Francisco Machado-Linde |
Abstract |
A 42-year-old woman presented with urinary incontinence 9 years after the last of four vaginal deliveries. She had also had one Caesarean section. Immediately after the last delivery, she presented with haematuria, which resolved within a few hours, but the drain remained prophylactically for 7 days. Nine years later, she was referred to a specialist hospital. The patient presented with continuous urinary incontinence, and physical examination revealed a loss of urine from the vagina, the latter confirmed by a methylene blue test showing loss of urine from the uterine cervix. Other diagnostic techniques used were cystography, cystoscopy and uro-CT. Based on a literature review of the management options for such patients and the relevant clinical details of our patient, a decision was made to perform a total abdominal hysterectomy and fistula repair. Six months following surgery, the results were entirely satisfactory, with full urinary continence and significant improvement in the patient's quality of life. A discussion about controversial approaches to diagnosis and management is included. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 50% |
Members of the public | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 21 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 3 | 14% |
Librarian | 2 | 10% |
Other | 2 | 10% |
Student > Doctoral Student | 1 | 5% |
Student > Bachelor | 1 | 5% |
Other | 5 | 24% |
Unknown | 7 | 33% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 9 | 43% |
Mathematics | 1 | 5% |
Nursing and Health Professions | 1 | 5% |
Psychology | 1 | 5% |
Agricultural and Biological Sciences | 1 | 5% |
Other | 2 | 10% |
Unknown | 6 | 29% |