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There are several reports of spontaneous cure of these fistulas, which justifies a conservative initial approach when diagnosed in patients during the puerperal period3. The proposed measures are indwelling catheter , and a prophylactic antibiotic therapy 4. In cases with tuberculous etiology a specific chemotherapy is indicated5. In the presence of vesicle uterine fistula with menuria, without urinary incontinence, we can use endocrine suppression of menstruation for almost 6 months6,7.

Among the less invasive methods, can be done the fulguration of the fistula associated with indwelling catheter for 6 weeks8, or the induction of amenorrhea for 6 months9. In these a good arterial irrigation of the uterine wall favors the spontaneous closing of the fistulous tract.