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A fistula involving the bladder can have one of many specific names, describing the specific location of its outlet: Bladder and intestine: "vesicoenteric", "enterovesical", or "vesicointestinal" [1] [2] [3] Bladder and colon: "vesicocolic" or "colovesical" [4] Bladder and rectum: "vesicorectal" or "rectovesical" [5]
to determine if vesicointestinal fistula or colovesical fistula In medicine, the poppy seed test is a diagnostic test used before surgery to predict if surgery will find a vesicointestinal fistula or colovesical fistula (an abnormal direct pathway between the colon and urinary bladder ) or other type of vesicointestinal fistula .
In some types of fistulae, a seton may be tied with more tension and tightened periodically. In this case, the seton loop will slowly cut through tissue inside the loop while scarring behind the loop, essentially "pulling out" the fistula without surgery. This is the Kshar-Sutra method mentioned by Sushruta in ancient Indian surgical practice.
LIFT technique is the novel modified approach through the intersphincteric plane for the treatment of fistula-in-ano, known as LIFT (ligation of intersphincteric fistula tract) procedure. LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach.
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.
Gouverneur's syndrome is characterised by vesicointestinal fistula with associated suprapubic pain, urinary frequency, pain on passing urine, and tenesmus. [1] [2] It is named after French physician R. Gouverneur. [3]
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Primary fistula repair has a 91% success rate. [46] The corrective surgery costs about US$100–400, [54] and the cost for the entire procedure, which includes the actual surgery, postoperative care, and rehabilitation support, is estimated to cost $300–450.