Vaginal fistulas

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A vaginal fistula is an abnormal opening that connects your vagina to another organ, such as your bladder, colon or rectum. Your doctor might describe the condition as a hole in your vagina that allows stool or urine to pass through your vagina. Vaginal fistulas can develop as a result of an injury, a surgery, an infection or radiation treatment.

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Vesicovaginal fistula VVF is still a major cause for concern in many developing countries. It represents a significant morbidity in female urology. Continual wetness, odor, and discomfort cause serious social problems.

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Background and Objective: Recto-vaginal fistula RVF is the most distressing surgical condition that a woman can experience. Other causes include radiation, malignancy, iatrogenic injury and infection. The surgical treatment is the standard of care in most females who had persistent fistula with symptoms.

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Background: Genital fistulas GF can arise in the course of Crohn's disease CDare difficult to manage and determine a significant alteration of the quality of life. Results: A total of 47 patients with GF were identified, affecting 3. The median of time from the diagnosis of CD reached months. According to anatomical type, GF were classified as rectovaginal

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Jump to content. See pictures of a vesicovaginal fistula and a rectovaginal fistula. A vaginal fistula starts with some kind of tissue damage.

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Two hundred sixty-two patients with urinary-vaginal fistulas were operated on at the Mayo Clinic during through A review of these cases indicates that complete investigation of the urinary tract should precede repair, since these abnormal communications appear in many varieties and may be multiple. Anatomic as well as etiologic considerations are important in diagnosis.

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Please take this quick survey to tell us about what happens after you publish a paper. Twenty-eight patients with vaginal fistulas complicating Crohn's disease, seen between andare described. Twelve required early operation; five of them had rectal excision.

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I recommend beginning the work-up for a suspected VVF with a thorough cystoscopic evaluation of the bladder for injury. An irregular appearance of the bladder, signs of inflammation, and poor or absent ureteral efflux are often indicative of VVF in the presence of vaginal leakage. Following cystoscopy, I perform a split speculum examination of the vagina. Most injuries will be on the anterior wall or the apex cuff.


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