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