[Vesico-uterine fistula. Apropos of 5 cases]. / Les fistules vésico-utérines. A propos de cinq cas.

ABSTRACT

Five cases of VUF have been observed by the authors over a period of 15 years, reflecting the rarity of this condition. Based on a review of the literature, the authors present an exhaustive study of the various aspects of VUF 1) aetiopathogenic features they emphasise the rarity of the disease and its aetiology which is currently dominated by caesarean section; 2) clinical features with little variability in the symptoms (urine leak from the vagina with or without associated menouria) and the usually simple diagnosis based on a thorough clinical examination and routine complementary investigations (IVP, cystography...); 3) lastly the therapeutic aspects, based on surgical cure, which is almost always satisfactory. On the basis of their experience and their results, VUF constitutes a benign lesion, but a source of discomfort, which should be prevented.