Fistulas

Fistulas are an abnormal connection between 2 organs. A vesicovaginal fistula is an abnormal connection between the bladder and the vagina, that allows continuous urinary leakage (discharge) into the vagina. This problem has a profound effect on a woman’s well-being.

The majority of vesicovaginal fistulas in developed countries are a consequence of gynecological surgery- The majority occurring after a hysterectomy

Symptoms-
    Symptoms that a woman may experience include:

  • Uncontrolled leakage into the vagina
  • Patients that experience flank pain
  • Infections may be suspect for urethral injury
Treatments

Small fistulas may sometimes resolve with a foley catheter drainage. However, the majority of times, surgical treatment is needed. Depending on the location of a fistula, the physician may repair the defect either vaginally or abdominally. Trained physicians can repair this robotically, which greatly minimizes post-operative discomfort.

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