Endoscopic repair of a vesicouterine fistula with the injection of microfragmented autologous adipose tissue (Lipogems®)

Matteo Giulio Spinelli, Vito Lorusso, Franco Palmisano, Michele Morelli, Paolo Guido Dell’orto, Carlo Tremolada, Emanuele Montanari

Research output: Contribution to journalArticlepeer-review

Abstract

Vesicouterine fistula (VUF) is a rare extra-anatomical communication developing between the uterus or cervix and the urinary bladder, most commonly after an iatrogenic injury during a cesarean section. Patients with VUF may have various clinical presentations, ranging from Youssef’s syndrome (vaginal urine leakage, amenorrhea, and menouria) to urinary tract infection and infertility. Quality of life for patients having this pathology is strongly affected owing to the psychological burden. Treatment is surgery based because low success rates have been reported for conservative or minimally invasive approaches. Herein, we present a case of a 35-year-old woman successfully treated by a minimally invasive endoscopic repair procedure with the injection of microfragmented autologous adipose tissue (Lipogems®).

Original languageEnglish
Pages (from-to)398-402
Number of pages5
JournalTurkish Journal of Urology
Volume46
Issue number5
DOIs
Publication statusPublished - 2020

Keywords

  • Endoscopic
  • Fistula
  • Genitourinary
  • Lipogems
  • Microfragmented autologous adipose tissue
  • Vesi-couterine

ASJC Scopus subject areas

  • Urology

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