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Unrecognized small vesicovaginal fistula as a cause of persistent urinary incontinence
1Gynecological Urology and Urodynamic Investigative Unit, Mount Sinai Hospital, Toronto, Ontario, Canada.
American Journal of Obstetrics and Gynecology
|February 1, 1988
Abstract:
Three cases of persistent urinary incontinence from unrecognized small vesicovaginal fistula after abdominal hysterectomy for benign gynecologic disease are presented. Visualization of urine in the posterior fornix was suggestive; diagnosis was confirmed by methylene blue test and cystoscopy. Two patients had undergone interval Marshall-Marchetti-Krantz operations for suspected stress-related urinary incontinence. An extensive literature survey confirms that the vesicovaginal fistula were an unlikely complication of the Marshall-Marchetti-Krantz procedure.