ROLE OF HYSTEROSALPINGOGRAPHY IN DIAGNOSIS OF VESICOUTERINE FISTULA

Abstract

ABSTRACT 

INTRODUCTION: 

Vesico uterine fistula is an abnormal communication between the bladder and uterus. It is 

rare urogenital complication seen in 1 to 4% of Genitourinary fistula . Menouria is common 

presentation of vesicouterine fistula. Management may range from conservative treatment 

to surgical approach depending on the size of fistula and severity of complains. 

METHODOLOGY: 

Retrospective cohort data of 17 cases admitted with complain of menouria was collected 

from fistula record from Department of Obstetrics and Gynaecology unit 2 Isra University 

Hospital from year 2017 till march 2021. Diagnosis was made based on medical record 

including hysterosalpingographic/ cystoscopic findings before repair and intraoperative 

findings.All patients underwent surgical procedure for management. 

RESULTS: 

From March 2017 to March 2021, 17 patients complained of menouria, with 16 of them 

undergoing surgical repair of VUF at Isra University Hospital Hyderabad's obstetrics and 

gynaecology Unit 2. Despite the fact that no fistula was discovered, one patient 

complained of menouria. Previous Caesarean section was the most common cause of a 

fistula, accounting for 82 %, with 47 % experiencing menouria within a year. The majority 

of the patients were under the age of 30. 

CONCLUSION: 

Measures should be taken in order to prevent occurrence of VUF. Successful closure of 

VUF requires accurate diagnostic evaluation, appropriate repair using basic surgical 

principles and techniques. 

KEYWORDS: Post-Caesarean fistula, urogenital fistula, vesico-uterine fistula.