Vesicovaginal fistula

Case contributed by Dr Bahman Rasuli

Presentation

Hysterectomy two weeks ago, now has continuous dribbling of urine through the vagina.

Patient Data

Age: 55 years
Gender: Female
Fluoroscopy

Contrast fills the urinary bladder via a catheter, then promptly fills the vagina, via a short fistulous tract at the posterosuperior aspect of the bladder into the upper vagina.

Case Discussion

Vesicovaginal fistula can occur as a complication of pelvic surgery and hysterectomy is the commonest predisposing factor. This case is a good illustration of the vesicovaginal fistula on fluoroscopy. 

Case courtesy of Dr Maryam Moradi Shar Babak.

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Case information

rID: 90848
Published: 1st Jul 2021
Last edited: 5th Jul 2021
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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