{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:02:58Z","timestamp":1756339378182,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,7,4]]},"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>A G4P4 woman in her 30s with a type II vesicouterine fistula, as defined by the Jozwik classification system, presented with symptoms of menouria, vaginal menses and urinary incontinence 8 years after caesarean delivery, the time of probable origination of the fistula tract. Transvaginal ultrasound identified a fistula tract communicating between the bladder and uterus, a rare finding that many years remote from caesarean delivery. Traditional surgical technique includes laparoscopic, abdominal and endoscopic methods of repair, sometimes using a transvesical approach. Transvesical repair can be associated with subsequent inpatient hospital stays and prolonged catheterisation. Our technique proposes a transvaginal surgical approach as an outpatient procedure with decreased operating time (40\u2009min), postoperative pain and catheterisation requirement. It is the authors\u2019 belief that a transvaginal approach is less invasive and allows for better preservation of the uterus for future pregnancies and vaginal deliveries, as desired by the patient.<\/jats:p>","DOI":"10.1136\/bcr-2024-260827","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T23:40:27Z","timestamp":1720654827000},"page":"e260827","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Successful transvaginal repair of a vesicouterine fistula with delayed presentation"],"prefix":"10.1136","volume":"17","author":[{"given":"Grace","family":"Love","sequence":"first","affiliation":[{"name":"OB\/GYN, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeline","family":"White","sequence":"additional","affiliation":[{"name":"OB\/GYN, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Herrell","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Ballad Health, Greeneville, Tennessee, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"2025082701122708000_17.7.e260827.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(57)90384-8"},{"key":"2025082701122708000_17.7.e260827.2","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/605325"},{"key":"2025082701122708000_17.7.e260827.3","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1055\/s-2004-822839","article-title":"Transvaginaler verschluss einer nach re-sectio caesarea aufgetretenen vesico-uterinen fistel typ I (Jozwik)","volume":"126","author":"Jundt","year":"2004","journal-title":"Zentralbl Gynakol"},{"key":"2025082701122708000_17.7.e260827.4","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S0020-7292(00)00247-2","article-title":"Clinical classification of Vesicouterine Fistula","volume":"70","author":"J\u00f3zwik","year":"2000","journal-title":"Intl J Gynecology & Obste"},{"key":"2025082701122708000_17.7.e260827.5","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1016\/S0022-5347(17)41333-4","article-title":"Treatment of Vesicouterine Fistula by fulguration","volume":"141","author":"Molina","year":"1989","journal-title":"J Urol"},{"key":"2025082701122708000_17.7.e260827.6","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1016\/j.euf.2020.06.017","article-title":"Successful treatment of vesicovaginal fistulas via an abdominal transvesical approach: a single-center 50-yr experience","volume":"7","author":"Mancini","year":"2021","journal-title":"Eur Urol Focus"},{"key":"2025082701122708000_17.7.e260827.7","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/s00192-021-04973-x","article-title":"Transvaginal repair of Vesicouterine Fistulae: our experience of three cases","volume":"33","author":"Cao","year":"2022","journal-title":"Int Urogynecol J"},{"key":"2025082701122708000_17.7.e260827.8","first-page":"64s","article-title":"Vesicouterine fistula: a rare complication of cesarean section","volume":"62","author":"Buckspan","year":"1983","journal-title":"Obstet Gynecol"},{"key":"2025082701122708000_17.7.e260827.9","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1007\/s00192-017-3506-1","article-title":"Repair of a Vesicouterine Fistula following cesarean section","volume":"29","author":"Milani","year":"2018","journal-title":"Int Urogynecol J"},{"key":"2025082701122708000_17.7.e260827.10","doi-asserted-by":"crossref","DOI":"10.1002\/ccr3.5284","article-title":"A case with type II Vesicouterine Fistula","volume":"10","author":"Yan","year":"2022","journal-title":"Clin Case Rep"},{"key":"2025082701122708000_17.7.e260827.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2013.11.006"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-260827","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:12:33Z","timestamp":1756282353000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-260827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":11,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7,10]]},"published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1136\/bcr-2024-260827"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-260827","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,7]]}}}