Figure 7. Ureteral urine leak in a 46-year-old woman with bilateral ureteral fistulas to the vagina. The patient had undergone total abdominal hysterectomy and pelvic irradiation for cervical cancer. Bilateral antegrade stent deployment was unsuccessful. Bilateral antegrade pyelogram, obtained following bilateral ureteral occlusion with stainless steel coils (arrowheads) and placement of an absorbable gelatin sponge slurry, demonstrates complete ureteral occlusion on the left side and nearly complete occlusion on the right side. Some leakage of previously administered contrast material into the right side of the pelvis (arrow) is seen. The patient will have bilateral percutaneous nephrostomy catheters for the rest of her life.