Management of Ureterouterine Fistula

A 29-year-old female is presented as paradoxical incontinence. As per speculum vaginal examination, there was continuous urine dribbling from external os. Computed tomography urogram showed that there was extravasation of dye from left ureter into a uterus. Cystoscopy examination showed no evidence of vesicovaginal fistula. On left retrograde urogram, there was extravasation of dye into the uterus. Lt ureterorenoscopy was done and left double-J stenting was done after negotiating guidewire into an upper ureter. She was advised for continuous bladder drainage and left double-J stent in situ for 6 weeks. Postoperation, there was no urinary incontinence. After 6 weeks, Foley's catheter and left double-J stent were removed, and intravenous urogram showed no evidence of urogenital fistula.