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Vesicovaginal fistula, or 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. [citation needed] In addition to the medical sequela from these fistulas, they often have a profound effect on the patient's emotional well-being.
If the tampon turns orange, ureterovaginal fistula is suspected. If the tampon turns blue and orange, suspect a combination of vesicovaginal and ureterovaginal fistulae. It is important to be alert for leakage around the catheter, which may spill back into the vagina creating the false impression of a fistula.
619 Fistula involving female genital tract. 619.0 Urinary-genital tract fistula, female Vesicovaginal fistula; 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament. 620.0 Cyst of ovary, follicular; 620.1 Corpus luteum cyst; 621 Disorders of uterus, not elsewhere classified 621.2 Uterus, hypertrophy; 621.3 Endometrial ...
Fistulas caused by obstetric and gynecologic trauma or injury are commonly known as obstetric fistulas and can lead to incontinence. These types of vaginal fistulas include, most commonly, vesicovaginal fistula and, more rarely, ureterovaginal fistula. These may be difficult to diagnose.
The use of the posterior lip of the cervix to close juxtacervical fistulae (M. Ijaiya's technique) may be particularly useful when the anterior lip of the cervix is involved in the pressure necrosis and it is difficult to achieve a tension-free repair.
The fluid consists of cervical and endometrial mucus or in rare instances urine accumulated through a vesicovaginal fistula proximal to the obstruction. In some cases, it is associated with Bardet-Biedl Syndrome. [1] If it occurs in prepubertal girls, it may show up as abdominal swelling. It may be detected by using ultrasound.
The presence of a vaginal fistula has a profound effect on the quality of life since there is little control over the passage of urine and feces through the vagina. [6] [7] Urogenital fistulas are often classified according to their cause: obstetric fistula, congenital fistula and iatrogenic fistula. Urogenital fistulas can be classified by ...
Vesicouterine fistulas occur most commonly after lower segment caesarean sections (about 83-93% of cases). [2] The possible mechanisms by which vesicouterine fistulas occur following caesarean sections include undetected bladder injury during caesarean section, inadvertent placement of a suture through the bladder during the repair of the uterus and abnormal blood vessel connections following ...