A case of obstructed labour which was delivered by caesarian section complains of cyclical passage of menstrual blood in urine. Which is the most likely site of fistula?
Urethrovaginal
Vesico-vaginal
Vesico-uterine
Uretero uterine
Women with vesicocervical or vesicouterine fistula may present with cyclical hematuria at the time of mensuration. Classically fistulae is present between 5-10 days after direct surgical injury such as cesarian section as in this clinical scenario. Ref: Obstetrics and Gynaecology By Sarabatnam Arulkumaran, Page 634 ; Textbook of Gynecology By DC Dutta, 4th Edition, Pages 386-7