ABSTRACT
Women with urinary fistulae (uretero-vaginal, vesico-vaginal, urethro-vaginal) often complain of uncontrollable, continuous urinary leakage, which usually occurs after pelvic surgery, advanced pelvic malignancy, or radiotherapy. A small recent fistula may heal spontaneously if urine is diverted from the fistulous tract. If a fistula is diagnosed within 48 hours of surgery, and if there is no major inflammatory reaction or necrosis about the fistula, immediate reoperation and repair should be considered. If inflammation is present then treatment should be interim continuous bladder drainage.
