<?xml version="1.0" encoding="UTF-8"?>

<article>
<meta-data>
<journal-meta>
<journal-name>Clinical Medical Image Library</journal-name>
<journal-shortname>Clin Med Img Lib</journal-shortname>
<journal-doi>10.23937/2474-3682</journal-doi>
<issn>2474-3682</issn>
<publisher>
<publisher-name>ClinMed International Library</publisher-name>
<publisher-location>Wilmington, USA</publisher-location>
<publisher-doi-prefix>10.23937</publisher-doi-prefix>
</publisher>
</journal-meta>
<article-meta>
<article-title>
Vesico-Vaginal Fistulae
</article-title>
<citation_author>Mahmoud B </citation_author>
<article-doi>10.23937/2474-3682/1510183</article-doi>
<article-description>
42 years deaf virgin female consulted for urine permanent leakage through vagina.
</article-description>
</article-meta>
</meta-data>
<body>
<article-type>IMAGE  Article</article-type>
<volume>7</volume>
<issue>3</issue>
<access-type>OPEN ACCESS</access-type>
<article-doi>10.23937/2474-3682/1510183</article-doi>
<article-title>
Vesico-Vaginal Fistulae
 
</article-title>
<Author-Group>
<aut id="aut1">
<label>Author-1</label>
<name>Benatta Mahmoud</name>
<affiliation>
Head of Urology Department, Chu Oran, Oran 1 University, Algeria
</affiliation>
</aut> 
</Author-Group>
<author-notes>
<corres-author>
<label>Corresponding-Author</label>
<name>Benatta Mahmoud</name>
<address>
 Head of Urology Department, CHU Oran benzerdjeb, Oran 1 University Ahmed Ben Bella, Algeria, Fax: +213412232
</address>
</corres-author>
</author-notes>
<history>
<published-date>
<day>18</day>
<month>September  </month>
<year>2021</year>
</published-date>
</history>
<citation>
<author-names>
Mahmoud B
</author-names>
<published-year>2021</published-year>
<article-title>
Vesico-Vaginal Fistulae
</article-title>
<journal-short-name>Clin Med Img Lib</journal-short-name>
<article-doi>10.23937/2474-3682/1510183</article-doi>
</citation>
<permissions>
<copyright>
<copyright-year>2021</copyright-year>
<copyright-holder>Mahmoud B. </copyright-holder>
<copyright-notes>
© This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
</copyright-notes>
</copyright>
</permissions>
<article-content>
<Case-Description>
<p>
42 years deaf virgin female consulted for urine permanent leakage through vagina.
</p>
<p>
She had gynecologic surgery six months ago for uterine fibroids.
</p>
<p>
Classic physical examination was limited.
</p>
<p>
Digital touch and speculum and by methylene blue test, was not performed because the patient and her family did not agree.
</p>
<p>
Diagnosis of vesico-vaginal fistula made mainly by radiology imaging (Figure 1 and Figure 2).
</p>
<p>
Retrograde and mictionnal uretro-cystography showed a clear leakage of contrast from the bladder into the vagina.
</p>
<p>
We avoided a trans-vaginal approach and closed the fistula in two plans by transvesical route with excellent results.
</p>
</Case-Description>
 

<figure-1>
	<label>Figure 1</label>
	<title>Diagnosis of vesico-vaginal fistula made mainly by radiology imaging- FVV 2.</title>
	<graphic-link> https://www.clinmedjournals.org/articles/cmil/cmil-7-183-001.jpg</graphic-link>
</figure-1>

<figure-2>
	<label>Figure 2</label>
	<title>Diagnosis of vesico-vaginal fistula made mainly by radiology imaging- Per miction FVV 2.</title>
	<graphic-link> https://www.clinmedjournals.org/articles/cmil/cmil-7-183-002.jpg</graphic-link>
</figure-2>

</article-content>
 
</body>
</article>