case_images: PMC4872981_01
case_images: Vesicovaginal fistula 4-cm in diameter
case_images: 1679-4508-eins-11-01-0119-gf01.jpg
case_images: PMC4872981_01_1679-4508-eins-11-01-0119-gf01.jpg
case_images: f1
case_images: She did not have any urinary leakage during a full bladder stress maneuver and, upon demand, urination occurred simultaneously when requested by both vaginal and urethral routes (Figures 1 to 4).
case_images: Index finger inserted in the vagina through the fistula
case_images: 1679-4508-eins-11-01-0119-gf02.jpg
case_images: PMC4872981_01_1679-4508-eins-11-01-0119-gf02.jpg
case_images: f2
case_images: She did not have any urinary leakage during a full bladder stress maneuver and, upon demand, urination occurred simultaneously when requested by both vaginal and urethral routes (Figures 1 to 4).
case_images: Voluntary micturition via both the vagina and urethra
case_images: 1679-4508-eins-11-01-0119-gf03.jpg
case_images: PMC4872981_01_1679-4508-eins-11-01-0119-gf03.jpg
case_images: f3
case_images: She did not have any urinary leakage during a full bladder stress maneuver and, upon demand, urination occurred simultaneously when requested by both vaginal and urethral routes (Figures 1 to 4). Furthermore, even under exertion, she did not need absorbent pads and was able to voluntarily urinate simultaneously through vaginal and urethral voiding (Figures 3 and 4).
case_images: Absence of urinary leakage with a full bladder: a) rest and b) cough
case_images: 1679-4508-eins-11-01-0119-gf04.jpg
case_images: PMC4872981_01_1679-4508-eins-11-01-0119-gf04.jpg
case_images: f4
case_images: She did not have any urinary leakage during a full bladder stress maneuver and, upon demand, urination occurred simultaneously when requested by both vaginal and urethral routes (Figures 1 to 4). Furthermore, even under exertion, she did not need absorbent pads and was able to voluntarily urinate simultaneously through vaginal and urethral voiding (Figures 3 and 4).