Which is a symptom of a vesicovaginal fistula?
a. Rectal contents into the vagina
b. Endometriosis
c. Urine seepage into the vagina
d. Fecal incontinence
ANS: C
A vesicovaginal fistula, which develops between the bladder and vagina, is the most common type of genital fistula. A small opening permits seepage of urine, although the patient may void normally. Total incontinence may result from a large fistulous aperture and cause irritation of the vagina, vulva, and thighs.
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