Overall
Diagnosis
Treatment
Overall
A Vesicovaginal fistula is an abnormal communication between the urinary bladder and vagina.
That result urine leaking out uncontrollably through the vagina.
Vesicovaginal fistula is a one type vaginal fustula. There are several types of vaginal fistulas.
Ureterovaginal fistula
Urethrovaginal fistula
Rectovaginal fistula
Colovaginal fistula
Enterovaginal fistula
Vesicovaginal fistula not only a physical disease but also psychological problems for the women. Because of incontinence urine through vagina with out urge, urine smell etc.
CAUSES
- Uncomplicated childbirth
- Abnormal surgery like ••hysterectomy, cesarean section
- Pelvic, cervical or colon cancer
- Radiation treatment
- Crohn’s disease
- Infection
- Injury, inflammation
SYMPTOMS
- Continuous leakage of urine through vaginal during day as well as night ( Incontinence of urine)
- Urine smell may be noted
- Vaginal skin become red and swollen
- In large fistula – No urge to empty the bladder because the urine never stays in the bladder
- Fever
- Abdominal pain
- Nausea
- Vomiting
- Sleeplessness
- Weight loss
- Anxiety
Diagnosis
INVESTIGATION
Dye test
Cystoscopy
Retrograde pyelogram( x-ray)
Fistulogram ( x-ray)
Pelvic CT scan
Pelvic MRI
Sigmoidoscopy
Treatment
TREATMENT
- If you have symptom of vesicovaginal fistula immediately consult with doctor. Immediate treatment and management will needed
- If fistulas under 0.5cms can be treated conservatively
- Fistula over 0.5cms need surgery
