[Hormonal dependence of vesicouterine fistulas].

Maciej Jóźwik, M Jóźwik
Ginekologia polska · 1998 · vol. 69(9) , pp. 717–21 · PMID:9864911 · W2422819329
article OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This review suggests endometrial involvement, potentially external endometriosis, in vesicouterine fistulas and proposes conservative hormonal management before surgery, along with a new classification based on menstrual flow routes.

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Abstract

Vesicouterine fistulas are more and more frequently reported. This paper reviews available data suggesting the role of the endometrium in the fistula's formation. At least a proportion of these fistulas fulfil the criteria of external endometriosis. Conservative management by means of hormonal treatment should be considered before surgical repair. We also present a new clinical classification of this disorder, based on the routes of menstrual flow: type I--with menouria, type II--with dual flow via both the bladder and vagina, and type III--with normal vaginal menses.

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Condition tags

endometriosis

MeSH descriptors

Danazol Estradiol Congeners Estrogen Antagonists Uterus Vesicovaginal Fistula Vesicovaginal Fistula Danazol Estradiol Congeners Estrogen Antagonists Ethinyl Estradiol Female Humans Uterus Vesicovaginal Fistula

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