A 32-year lady with uterine fetal death after normal vaginal delivery continues passing of urine from vagina. What is the most probable diagnosis?
Correct Answer: Vesicovaginal fistula
Description: Most probable diagnosis of above case is Vesicovaginal fistula Causes of Vesicovaginal fistula Obstetric causes Obstructed labor Faulty instrumentation Destructive operations Gynecological causes Hysterectomy Weheim: ureteric dissections Radiation injuries: painful fistula Presentation: Constant dribbling of urine Vulva and thighs are excoriated Splash dysuria UTI Best investigation for VVF: Cystoscopy Other test done in VVF: Three swab test
Category:
Gynaecology & Obstetrics
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