title: Cystoscopic fistulography: a new technique for the diagnosis of vesicocervical fistula.
abstract: BACKGROUND
  Most fistulas communicating with the bladder are large enough to be diagnosed easily, or small enough to close spontaneously without clinical sequel. A vesicocervical fistula is an uncommon event and may be difficult to diagnose.
  
  
  METHODS
  During an operative cystourethroscopy procedure, suspicious areas of the bladder can be probed with a cone tip catheter and injected with contrast dye to visualize the suspected fistula communicating with the bladder.
  
  
  RESULTS
  This technique was employed when a double dye test, an intravenous urogram, a cystogram, a computed tomography scan, and a hysterogram failed to localize the fistulous tract in a patient who was 3 weeks postpartum after a repeat cesarean with complaint of persistent urinary incontinence.
  
  
  CONCLUSIONS
  Cystoscopic catheterization of suspicious lesions in the bladder may visualize an otherwise elusive fistulous tract.
authors.affiliation: Department of Obstetrics and Gynecology, Section of Female Pelvic Medicine and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA. ashobe@lsuhsc.edu
authors.forename: S A
authors.initials: SA
authors.lastname: Shobeiri
authors.forename: R R
authors.initials: RR
authors.lastname: Chesson
authors.forename: K T
authors.initials: KT
authors.lastname: Echols
mesh_terms: D000328:Adult; D002404:Catheterization; D004396:Coloring Agents; D003558:Cystoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D011859:Radiography; D001747:Urinary Bladder Fistula / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002577:Uterine Cervical Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging
chemical_list: D004396:Coloring Agents