و سزارينهاي مكرر IUD گزارش يك مورد فيستول رحم به مثابه بعد از حاملگي با

A CASE REPORT OF VESICOUTERINE FISTULA AFTER PREGNANCY WITH IUD AND REPEATED CESAREAN SECTION

Vesicouterine fistula is a very rare disease which develops after cesarean section in most of the reported cases. The patients usually have symptoms such as urinary incontinence in early stages of disease and cyclic hematurea in late stages. Prolonged use of Intra-Uterine Devices(IUDs) was reported rarely to be the cause of vesicouterine fistula. This is the report of a 30-year-old woman with history of repeated cesarean sections and pregnancy with IUD in uterus. Six months after her last cesarean, with symptom of cyclic hematurea, she was diagnosed to have vesicouterine fistula which was repaired via surgery. Disease presentations, diagnosis criteria and complications of Vesicouterine fistula along with medical and surgical approaches in treatment of this disease were discussed in this paper.