Diagnosis and management of post-cesarean ureterouterine fistulae.
Urinary leakage following obstetric or gynecologic surgery is a dreaded complication, most often caused by a urogenital fistula. Of these, uretero-uterine fistulae are relatively rare and pose a diagnostic and therapeutic dilemma. A 29-year-old woman presented with paradoxical incontinence of urine for 3 months. She had developed vaginal leakage of urine 2 weeks following an uneventful cesarean section. Conservative measures in the form of catheterization and bed rest did not relieve her symptoms. Subsequent examination and investigations revealed that she had a ureterouterine fistula. The case is discussed as well as the diagnostic modalities and treatment options.
Nabi
G
G
All India Institute of Medical Sciences, New Delhi.
Hemal
A K
AK
Kumar
M
M
Ansari
M S
MS
Dorairajan
L N
LN
D000328:Adult; D001510:Bed Rest; D002404:Catheterization; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D014515:Ureteral Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014591:Uterine Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery