|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.