The trend of presentation of vesico-vaginal fistula (VVF) and recto-vaginal fistula (RVF), in our environment

This is a case report of an unmarried 16 year old unbooked (P1+0) female patient with a diagnosis of vesico-vaginal fistula and recto-vaginal fistula following four day obstructed labour is presented. Following an intravenous urography (IVU), evidence of contrast in the bladder, vagina and rectum due to fistulous connection between vagina and bladder, vagina and rectum referred to as triple density was demonstrated. The value of commonly used IVU in our environment in diagnosis and follow-up management is discussed in this report. Keywords: Vesico-Vaginal Fistula, Recto-Vaginal Fistula, Obstructed Labour, Intravenous Urograph