The missing foley catheter: an unusual finding in vesicouterine fistula
A 28-year-old G1P1 was referred to our fistula hospital with a 5-month history of leaking urine per vagina. The leakage was intermittent, and immediately followed caesarean delivery of a stillbirth after labouring 3 days. Additionally, she had 5 months of amenorrhoea but cyclic haematuria accompanied by cramping pains.\nThe genital examination was unremarkable, with no leakage of dye following retrograde filling of the bladder. Given her complaints, she was scheduled for an exploratory laparotomy for suspected vesicouterine fistula. A foley catheter passed immediately before surgery was noted to have no urine drainage, but the examination confirmed proper transurethral placement.\nOn surgical exploration, the bladder was identified, but the foley bulb was curiously absent. Dissecting the bladder completely free from the uterus revealed the problem. Surrounded by dense scar tissue was the missing foley catheter, traversing the fistulous tract (Fig. ). Palpation of the uterus confirmed the inflated balloon was in the endometrial cavity.