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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.
Double dye test is useful for diagnosing vesicovaginal or ureterovaginal fistulae.For this test, the patient takes oral phenazopyridine (Pyridium) 200 mg three times a day, and indigo carmine or methylene blue is filled into the empty urinary bladder via a urethral catheter.
The knee-chest position [1]. The knee-chest position or genupectoral position is a position used in a number of medical situations including gynecological examination and surgery, lumbar spine surgery, [2] [3] [4] repair of vesico-vaginal fistula (VVF) by Sims's saucerisation procedure, labor and delivery for which it is recommended in those with a cord prolapse until delivery can occur, [1 ...
Abnormal passageways or fistulas can exist between the vagina and bladder, ureters, uterus, and rectum with the resulting passage of urine from the vagina, or intestinal gas and feces into the vagina, in the case of a vaginal–rectal fistula. [1] These vaginal fistulas are named according to the origin of the defect: vesicovaginal; urethrovaginal
James Marion Sims (January 25, 1813 – November 13, 1883) was an American physician in the field of surgery.His most famous work was the development of a surgical technique for the repair of vesicovaginal fistula, a severe complication of obstructed childbirth. [3]
The occurrence of menoruria in the absence of vaginal bleeding or passage of urine from the vagina is attributed to a sphincteric mechanism of the uterine isthmus. [3] Jozwik and Jozwik classified vesicouterine fistula into three types based on the route of menstrual flow; [4] I - Menstrual flow from the bladder only without urinary incontinence
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.
Vesico Vaginal/Vesico Colic fistula; Cystocele [3] Contraindications for voiding cystourethrogram is when the subject is having: Ongoing acute urinary tract infection [2] Hypersensitivity to contrast media; Fever within the past 24 hours; Pregnancy