What is a vesicovaginal fistula?
A fistula is an undesirable opening the develops between two components of the body. Reasons of fistulas can include infections, injuries and inflammation. They can occur in countless parts of the body.
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A vesicovaginal fistula is an opened that develops in between the bladder and the wall surface of the vagina. The result is that urine leaks out of the vagina, occasionally lightly but it deserve to be steady if the fistula is large. In addition to being a serious clinical problem, this condition is really upsetting. The leakage is embarrassing and can smell bad.
Symptoms and Causes
What causes a vesicovaginal fistula?
Vesicovaginal fistulas are regularly a complication after surgical procedure to treat problems in the bladder or vagina. They additionally can be connected to gynecological cancer, either from the condition or sometimes as a side effect of radiation treatment or surgical procedure to act the cancer. Specifically bad or repeat urinary street infections have the right to sometimes cause fistulas too, yet this is rare.
Diagnosis and Tests
How are vesicovaginal fistulas diagnosed?
Most vesicovaginal fistulas build soon after ~ surgery and patients will certainly complain the a lot of of brand-new urinary leakage.
Your provider will frequently do a near physical test of the area to discover more. Based upon what they finds, imaging tests may be ordered. The most common tests would be an X-ray that the pelvis, or a computed tomography (CT scan) that provides dye (also called contrast) to to mark the tissues in that component of the body, make it easier to recognize the resource of the problem. The dye is injected with your vein or v a catheter inserted into the bladder. Your provider will probably likewise look in the bladder through a scope.
Management and Treatment
How room vesicovaginal fistulas treated?
The only way to solve vesicovaginal fistulas is with surgical treatment to close off the opening. Sometimes extr procedures are needed to exactly the original cause of the problem, together as damages to the bladder.
Surgery to correct vesicovaginal fistulas is generally really successful. Women who have a fistula as result of a disease such as cancer might not have actually as good of an outcome, however.
Most ladies will require to have a catheter in the bladder for a couple of weeks while the surgical area heals.
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The Glickman Urological & Kidney Institute uses innovative treatments in urology and nephrology, consisting of minimally invasive, scarless choices for urologic procedures and also medical administration of kidney disease.
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Cleveland Clinic’s Ob/Gyn & Women’s health Institute is cursed to giving world-class treatment for ladies of every ages. We sell women"s health services, obstetrics and gynecology throughout Northeast Ohio and also beyond. Whether patients are described us or currently have a Cleveland Clinic ob/gyn, we work carefully with them to offer treatment recommendations and follow-up care to aid you get the ideal outcome.
Cleveland Clinic is a non-profit academic medical center. Advertising on our website helps assistance our mission. We do not endorse non-Cleveland Clinic products or services.Policy