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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature
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Vesicouterine Fistula (VUF) as a Rare Urogenital Complication Managed with Delayed Surgical Repair: A Case Report and Review of the Literature

机译：膀胱子宫瘘（VUF）作为罕见的泌尿生殖系统并发症，并通过延迟的手术修复进行治疗：病例报告和文献复习

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摘要

Vesicouterine fistula (VUF) represents a rare urogenital complication. It is considered to be the least common type of urogenital fistulas. Iatrogenic reasons have been shown to be the most prominent cause, with lower segment caesarean section accounting for approximately two-thirds of the cases. The highest incidence concerns young females of reproductive age. VUF can present with clinical symptoms varying from cyclic hematuria, amenorrhea, and vaginal leakage of urine to secondary infertility and first-trimester abortion. Quality of life (QoL) for patients having this pathology is strongly affected due to the psychological burden. Surgical excision of the fistula remains the mainstay of treatment, as less than 5% of patients respond to conservative therapy. Recently laparoscopic and robotic-assisted VUF repair started gaining ground with comparable results to open surgery. Herein, we presented the successful delayed surgical repair of VUF in a 32-year-old female patient. A review of the published literature was also performed, summarizing all the available evidence regarding this rare clinical entity.
机译：子宫子宫瘘（VUF）代表一种罕见的泌尿生殖器并发症。它被认为是泌尿生殖道瘘的最不常见类型。医源性原因已被证明是最主要的原因，低段剖腹产大约占病例的三分之二。发病率最高的是育龄女性。 VUF的临床症状从周期性血尿，闭经，尿液阴道漏出到继发性不孕和早孕流产不等。具有这种病理状态的患者的生活质量（QoL）受心理负担的影响很大。瘘管的手术切除仍然是治疗的主要手段，因为只有不到5％的患者对保守治疗有反应。最近，腹腔镜和机器人辅助的VUF修复开始取得进展，其结果可与开放手术相媲美。本文中，我们介绍了一名32岁女性患者中VUF的成功延迟手术修复。还对发表的文献进行了回顾，总结了有关这种罕见临床实体的所有可用证据。

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