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Vesicouterine fistula

Badar Murtaza1, Waqar Azim Niaz1, Arshad Mahmood1

  • 1Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|June 8, 2014
PubMed

A 41 years lady presented with 13 years history of urinary incontinence alongwith menouria, which had developed after the first vaginal delivery. However, she had four normal vaginal deliveries later. Intravenous urography showed normal flow on both sides but there was spillage of contrast from the urinary bladder into the uterus, in the cystographic phase. Cystoscopy showed a fistulous opening in the posterior wall of bladder above the trigone. She was subjected to total abdominal hysterectomy with repair of the fistulous bladder opening. Postoperative recovery was smooth and the patient became asymptomatic.

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