Conservative Management of Inaccessible Genitourinary Fistula: Case Report and Literature Review

Abstract

Obstetric fistula, a common cause of urinary incontinence, reduces the quality of life of affected women. Vesicocervical fistula is a rare subtype. We present the case of a 32 year-old grandmultipara who developed vesicocervical fistula following Caesarean section for prolonged obstructed labour. She presented within four weeks of the injury. The fistula was not accessible and the size could not be determined. Methylene blue dye test was however positive. She was managed conservatively with bladder catheterization for 4 weeks and the fistula was closed. Conservative management with catheter should be offered women with fresh vesicocervical fistulas even when the size is not known.