Vesicovaginal Fistula (Bladder Vagina Fistula)

Description
An abnormal connection established between the bladder and the vagina. Patients typically have urinary incontinence. The most common causes are trauma during childbirth, gynecologic surgery, vaginal radiation therapy, or invasive cancer of the cervix.

Symptoms
Uncontrolled dribbling of urine, urinary incontinence, urine coming from the vagina, increased vaginal secretions.

Tests
A history and physical exam will be performed including a pelvic examination. Additional tests will be done to establish the diagnosis.
Treatment
For small fistulas diverting the urine with a Foley catheter may be the only necessary treatment. Surgery is required for all other fistulas.

Research
Simultaneous bladder and vaginal reconstruction using ileum in complicated vesicovaginal fistula.
Provided by: PubMed
[Vesicovaginal fistula caused by abdominal hysterectomy and sacrocolpopexy with polypropylene mesh (GYNEMESH): a case report].
Provided by: PubMed
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