Vesicouterine fistulae as complications of repeated cesarean section

In all, only 167 cases of vesicouterine fistula have been documented in the world medical literature to date. In this paper the authors report five cases observed during the last 10 years, all secondary to cesarean section. It was the second operation for 3 patients and the third for the other 2. Two patients had urinary incontinence and 3 had amenorrhea and cyclic hematuria. The authors confirm the importance of conducting adequate investigations to ensure proper diagnosis of the fistula, and describe the choice of surgical approach.