Vesicocutaneous fistula

Vesicocutaneous fistula, a very distressing condition has a tremendous impact on the quality of life of the patient. We report the case of a 30 years old woman , who had caesarean hysterectomy after her third emergency caesarean section . She later developed abdominal wound infection which required resuturing. Since then she had been suffering from recurrent urinary tract infections and urinary leak through the abdominal wound during micturition. Urine analysis, urine culture, intravenous urogram, (IVU), voiding cystourethrogram (VCU) , cystoscopy , and sinogram done in our institution revealed communication between urinary bladder and cutaneous opening in left edge of abdominal scar. Bladder was catheterized for 03 weeks and aseptic dressing on abdominal defect was done for the same duration. Antibiotics were also advised. Full recovery was achieved.