PMC4872981_01
Vesicovaginal fistula 4-cm in diameter
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PMC4872981_01_1679-4508-eins-11-01-0119-gf01.jpg
f1
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).
Index finger inserted in the vagina through the fistula
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PMC4872981_01_1679-4508-eins-11-01-0119-gf02.jpg
f2
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).
Voluntary micturition via both the vagina and urethra
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PMC4872981_01_1679-4508-eins-11-01-0119-gf03.jpg
f3
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).
Absence of urinary leakage with a full bladder: a) rest and b) cough
1679-4508-eins-11-01-0119-gf04.jpg
PMC4872981_01_1679-4508-eins-11-01-0119-gf04.jpg
f4
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).