Uterovesicovaginal fistula following placenta percreta: case review and management options

We report case of uterovesicovaginal fistula following caesarean section with review of management options. The case presented with continuous dribbling of urine with cyclical menouria immediately following dilatation and curettage for retained placental bits. Cystoscopy along with hysteroscopy and methylene blue instillation through the cervix confirmed the diagnosis. Patient was put on prolonged bladder drainage for three months. The fistulas healed spontaneously requiring no further surgical management. All over the world prevalence of the utero-vesical fistula is increasing with frequent use of caesarean section.