Intravesical contrast-enhanced ultrasound (CEUS) for the diagnosis of vesicouterine fistula (VUF)
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DOI: 10.1097/md.0000000000010478
Abstract: Background: Vesicouterine fistula (VUF) is a very rare type of urogenital fistula, the incidence of which has increased in recent years due to increased cesarean section deliveries and other pelvic surgeries. The clinical diagnosis of… read more here.
Keywords: intravesical contrast; ceus; vesicouterine fistula; contrast enhanced ... See more keywords
Clinical classification, diagnosis and treatment of Vesicouterine fistula
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DOI: 10.3760/cma.j.issn.1673-4416.2019.05.055
Abstract: 随着剖宫产手术的开展，近年来膀胱子宫瘘(VUF)的发生率有明显上升趋势，但目前仍缺乏对该病诊治的系统性综述，本文通过回顾国内外各中心对VUF诊治病例的报道，总结VUF的临床表现以及诊治方案的选择。其临床表现可分为三型：I型表现为周期性血尿、无阴道出血、尿液完全可控制，即Youssef's syndrome；II型表现为膀胱及子宫间的双向流动，可见阴道漏尿及周期性血尿；III型表现为正常的月经伴有或不伴有阴道漏尿。关于VUF的诊断，金标准辅助检查仍存在争议，有条件者可同时行MRI及子宫造影、膀胱镜检查。诊断明确后，可根据瘘口的大小及发生时间选择保守治疗或手术干预，其中外科手术修补瘘口是VUF最可靠的治疗方法。 read more here.
Keywords: diagnosis treatment; clinical classification; treatment vesicouterine; vesicouterine fistula ... See more keywords