Vesicocervical fistula--a rare cause of urinary incontinence

A vesicocervical fistula is reported. This extremely rare and late sequela of caesarean section, secondary to a lesion in the bladder and unrecognized intraoperatively, was followed with a distressing, long-lasting urinary incontinence unreactive to conservative treatment. Not until 7 years after the primary operation was this lesion diagnosed and treated successfully by vaginal approach. Etiological factors, clinical features and treatment possibilities are discussed.