A 24-year-old female presented with complaint of passing urine without the sensation of bladder fullness & menuria since last LSCS done 8 months back. Patient had previous 2 LSCS. The patient had a history of bladder injury during 2nd LSCS & urinary catheter had been kept for 21 days. History of leakage of blood-stained urine from the side of the bag. Conservative management was not successful. Urine was sent for routine microscopy & culture sensitivity which show presence of E.Coli. CT and Cystoscopy posted. Need your valuable opinion.

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VUF. Vesicouterine fistulas (VUF) are a pathological and uncommon connection between the uterus and the bladder. Although rare, they are usually related to cesarean section. ... Vesicouterine fistulas are usually associated with psychological distress and have a negative effect on quality of life. There are a large number of causes for the formation of uterocutaneous fistulae such as lower-segment type of Cesarean section, abdominal pregnancy, and high delivery. ... Radiation therapy or traumas to the uterine wall during curettage can also cause this kind of fistula.

Evidently post C SECTION vesico-uterine fistula Needs surgical closure with urologist

Why not with Gynaecologist ,if he/she is well hand with surgical skills?
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- Vasico Utrine Fustula - Needs to be repaired Surgically

Uterovesical fistula due to LSCS need of repair

Versico-uteral fistula Neurogenic bladder,

Neurogenic bladder Urethrovaginl fistula

urethrovaginal istula is dds

Vasico utero fistula .NEEDS REPAIR 0peration.

Urethrovaginal fistula.

Vesico cervical fistula

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