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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.
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
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]
M. Ijaiya's technique is a surgical procedure that involves the use of the posterior lip of the cervix to close juxtacervical vesicovaginal fistulae. [ 1 ] History
Kitovu Hospital has 31 beds dedicated to the treatment of patients with obstetric fistula, also referred to as vesicovaginal fistula (VVF). [5] There are only six or so hospitals in Uganda with the expertise to carry out the necessary surgery in these cases.
Globally, 75 percent of urogenital fistulas are obstructive labor fistulas. The average age of a woman who develops a fistula due to prolonged labor is 28 years old. The average age of a woman who develops a fistula from other causes is 42 years old. [8] Women with a small pelvis are more likely to develop a fistula.
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