Murtaza Badar, Niaz Waqar Azim, Mahmood Arshad, Akmal Muhammad, Ahmad Hussain, Saeed Saira
Department of Urology, Armed Forces Institute of Urology (AFIU), Rawalpindi.
Department of Gynaecology, Military Hospital (MH), Rawalpindi.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S86-8.
A 41 years lady presented with 13 years history of urinary incontinence alongwith menouria, which had developed after the first vaginal delivery. However, she had four normal vaginal deliveries later. Intravenous urography showed normal flow on both sides but there was spillage of contrast from the urinary bladder into the uterus, in the cystographic phase. Cystoscopy showed a fistulous opening in the posterior wall of bladder above the trigone. She was subjected to total abdominal hysterectomy with repair of the fistulous bladder opening. Postoperative recovery was smooth and the patient became asymptomatic.
一位41岁女性，自首次阴道分娩后出现尿失禁伴闭经13年。不过，她后来又经历了4次正常阴道分娩。静脉肾盂造影显示双侧尿路通畅，但在膀胱造影阶段有造影剂从膀胱溢入子宫。膀胱镜检查显示膀胱三角上方膀胱后壁有一个瘘口。她接受了全腹子宫切除术及膀胱瘘口修补术。术后恢复顺利，患者症状消失。
