Vesicovaginal fistula

Case contributed by Dr Ian Bickle


Hysterectomy for grade 1 cervical malignancy 6 months earlier. Persistent vaginal discharge of clear fluid.

Patient Data

Age: 40
Gender: Female

The collecting systems and ureters are normal.

Contrast in both the urinary bladder and vagina.

Thin track in the left paramidline outling with contrast connecting the posterior bladder wall and upper vagina.

Annotated image

The red arrows indicate the thin fistulous track from the posterior wall of the bladder into the upper vagina.

Case Discussion

Excretory phase CT ( CT-IVU ) illustrated excellently a fistulous tract between the vagina and bladder in keeping with a vesicovaginal fistula.

In this case this is likely to be post operative/iatrogenic in nature, given the low stage pelvic malignancy prior to hysterectomy.

In many cases CT has replaced traditional fluroscopic studies in illustrating genitourinary tract fistulas.

PlayAdd to Share

Case information

rID: 40486
Published: 2nd Nov 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.