[Vesicocervical fistula]

Abstract

Vesicocervical fistula appearing after transperitoneal transversal isthmic Caesarean section become manifest in two different clinical patterns, either as incontinence with normal menses or as "umeno-urias" with urinary continence. The reasons for the signs and symptoms are explained, differential diagnosis is discussed and an own case presenting as incontinence is demonstrated. The need for surgical treatment is pointed out and criteria for safe operative closure of fistula are given.