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GENITOURINARY FISTULA

Mar 9
2 min read

Genitourinary fistula - Abnormal connection found between genital tract and urinary bladder, is known as genitourinary fistula.

1. Vesicovaginal fistula

In a female, abnormal communication found between urinary bladder and vagina is known as vesicovaginal fistula.

♦️ CAUSES

After childbirth such as due to obstructed labour, prolonged labour etc.
Trauma
Carcinoma of vagina, cervix or urinary bladder.
Injury during surgical procedure such as during abdominal hysterectomy etc.

♦️ CLINICAL MANIFESTATIONS

Constant dribbling of urine through the vagina is its characteristics feature.

♦️ MANAGEMENT

A Catheter drainage of the bladder for some days. It closes the abnormal connection spontaneously.
A Surgical management - Surgical repairing of the fistula is done.

2. Ureterovaginal fistula

Abnormal communication found between ureter and vagina, is known as ureterovaginal fistula.

♦️ CAUSES

Trauma
Surgery in pelvic area
Infection
Radiotherapy

♦️ CLINICAL MANIFESTATIONS

Continuous escape of urine through the vagina.

♦️ MANAGEMENT

Correction of fistula by surgical procedure.

3. Urethra vagina fistula

Abnormal communication found between female urethra and vagina, is known as urethrovaginal fistula.

♦️ CAUSES

After childbirth such as during prolonged labour, obstructed labour etc.
After incontinence surgery.
Trauma such as pelvic fractures.
Radiotherapy
Carcinoma of cervix or vagina etc.

♦️ CLINICAL MANIFESTATIONS

Continuous dribbling of the urine through the vagina.

♦️ MANAGEMENT

Surgical repairing of the defect is done.

4. Rectovaginal fistula

Abnormal communication found between female rectum and vagina, is known as rectovaginal.

♦️ CAUSES

Injury during childbirth such as during obstructed labour.
Trauma during surgical procedures in the pelvic area.
Carcinoma of vagina, cervix or intestines.
Inflammatory bowel disease such as Crohn's disease.
Radiotherapy

♦️ CLINICAL MANIFESTATIONS

Passage of flatus or stool through the vagina.

♦️ MANAGEMENT Management

Surgical repairing of the fistula is done.

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