Question 137 · LEK · Hysterectomy
A patient presents at the gynecological outpatient clinic on the 12th day after the radical hysterectomy due to endometrial hyperplasia with atypia. She complains of a constant outflow of urine from the vagina. Which of the following should be suspected?
- A. overactive bladder.
- B. exercise-induced urinary incontinence caused by the impairment of ligaments of the uterus.
- C. mixed urinary incontinence.
- D. evacuation of accumulated lymph fluid through the vaginal stump.
- E. vesicovaginal fistula.
Hint
Continuous rather than situational leakage of urine through the vagina after pelvic surgery suggests an abnormal anatomical communication.
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