Vesico-Vaginal Fistula or Bladder Vagina

Pelvis | Obstetrics and Gynaecology | Vesico-Vaginal Fistula or Bladder Vagina (Disease)


Description

Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patients emotional well-being.

Causes and Risk factors

The main causes that lead to bladder trauma are: fractures of the pelvis (especially those of the previous spring - at a rate of approx. 10-15%), iatrogenic maneuvers (hysterectomy - postoperative lesion may be diagnosed when a patient has loss of urine through the vagina endoscopic urologic surgery),concussion hypogastric, Fire weapons or produce an exceptionally such injuries in peacetime.

Bladder injuries occur primarily changes in urination, it can be difficult, frequent, in small quantities plus sometimes macroscopic hematuria. Clinical consequences of fistulas urovaginale plan are involuntary urine through the vagina which causes a marked decrease in quality of life of patients and promote the emergence of an increased frequency of urinary infections.

Diagnosis and Treatment

Diagnosis involves combining local history with physical examination and laboratory explorations. History may reveal the pathological history of oncological diseases and eventually performing genital surgery or radiotherapy. A very simple and inexpensive test involves inserting a vaginal swab after having first patient received orally a water solution of methylene blue, after a variable period of time from the extraction buffer will observe its blue color.

Test three test pads is another extremely useful. It involves placing vaginal swabs of three overlapping and then introducing a catheter into the bladder through a urethral indigo carmine solution or methylene blue. After 15 minutes examine buffers is such that if the upper pad is wet and colorless ureterovaginale means there is a fistula, if wet and colorful but it proves the existence of a fistula vezicovaginale, if the lower pad is wet and colorful but it involves a loss of urine Transurethral. ...