Question
Question: A 28-year-old woman presented to the clinic with continuous urinary leakage through the vagina follo...
A 28-year-old woman presented to the clinic with continuous urinary leakage through the vagina following a history of prolonged obstructed labour 4 months ago. Which of the following is the most common type of fistula in this scenario?
A
Urethrovaginal fistula
B
Ureterovaginal fistula
C
Vesicovaginal fistula
D
Rectovaginal fistula
Answer
Vesicovaginal fistula
Explanation
Solution
A history of prolonged obstructed labour commonly leads to ischemic necrosis of the bladder wall adjacent to the vagina, resulting in a vesicovaginal fistula. This type presents with continuous leakage of urine through the vagina.
- Prolonged obstructed labour ⟹ pressure necrosis.
- Typically affects bladder wall forming a fistula with the vagina.
- Presents with continuous urinary leakage.