Utero-Cervical Fistula following Caesarian Section

Abstract

A 40-year-old female presented with an 8-week history of urinary incontinence following Caesarean Section and bilateral tubal ligation. Methylene blue dye instilled into the bladder initially did not leak through the vagina or the cervix. A subsequent indigo carmine intravenous dye was excreted into both the bladder and the cervix. She underwent a hysterectomy, resection of the uretero-cervical fistula, and ureteric reimplantation with a psoas hitch procedure to relieve tension on the anastomosis. The postoperative period was uneventful and she regained continence after the catheters were removed.