title: Vesicouterine fistula.
abstract: A 41 years lady presented with 13 years history of urinary incontinence alongwith menouria, which had developed after the first vaginal delivery. However, she had four normal vaginal deliveries later. Intravenous urography showed normal flow on both sides but there was spillage of contrast from the urinary bladder into the uterus, in the cystographic phase. Cystoscopy showed a fistulous opening in the posterior wall of bladder above the trigone. She was subjected to total abdominal hysterectomy with repair of the fistulous bladder opening. Postoperative recovery was smooth and the patient became asymptomatic.
authors.affiliation: Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
authors.forename: Badar
authors.initials: B
authors.lastname: Murtaza
authors.affiliation: Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
authors.forename: Waqar Azim
authors.initials: WA
authors.lastname: Niaz
authors.affiliation: Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
authors.forename: Arshad
authors.initials: A
authors.lastname: Mahmood
authors.affiliation: Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Akmal
authors.affiliation: Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
authors.forename: Hussain
authors.initials: H
authors.lastname: Ahmad
authors.affiliation: Department of Gynaecology, Military Hospital (MH), Rawalpindi.
authors.forename: Saira
authors.initials: S
authors.lastname: Saeed
mesh_terms: D000328:Adult; D003558:Cystoscopy; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy; D011859:Radiography; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000000981:diagnostic imaging / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014599:Uterus / Q000601:surgery*