VESICO-UTERINE FISTULAS - ANALYSIS OF 19 CASES

Over a 15 year period (1977-1992), the authors have collected 19 cases of vesico-uterine fistulas. These vesico-uterine fistulas rank in thi rd place of genito-urinary fistulas and accur in young patients (mean age is 30 years). Obstetrical etiology is recognised in 95 % of cases (cesarean section and dystocic delivery). Leak of urine is present in 95 % of cases, and is isolated in 47 % or associated with intermittent hematuria in 48 %. Diagnosis of this affection is based upon clinical examination with methylene blue test. Communication between bladder a nd uterus is proved by the issue of methylene blue through the uterus cervix. This communication may be confirmed by opacification (urograph y and hysterography). Perfect continence is obtained by surgical treat ment. Fertility of these patients is often affected.