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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]
Abnormal passage of stool through the vagina is caused by a rectovaginal fistula. [15] Treatment is often surgical with the use of tissue grafts. [15] [16] The presence of bowel disease increases the risk of a rectovaginal fistula. [15] An entero-vaginal fistula can form between the bowel and the vagina. [17]
An abnormal communication (i.e. hole or tube) between the bladder and the uterus is called a vesicouterine fistula, while if it is between the bladder and the vagina it is known as a vesicovaginal fistula, and if between the urethra and the vagina: a urethrovaginal fistula. When occurring between two parts of the intestine, it is known as an ...
Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. [1] [2] This can be between the vagina and rectum, ureter, or bladder. [1] [4] It can result in incontinence of urine or feces. [1] Complications may include depression, infertility, and social isolation. [1]
A rectal prolapse occurs when walls of the rectum have prolapsed to such a degree that they protrude out of the anus and are visible outside the body. [2] However, most researchers agree that there are 3 to 5 different types of rectal prolapse, depending on whether the prolapsed section is visible externally, and whether the full or only partial thickness of the rectal wall is involved.
An enterocutaneous fistula (ECF) is an abnormal communication between the small or large bowel and the skin that allows the contents of the stomach or intestines to leak through an opening in the skin.
Surgery can be carried out through the vagina, bladder or peritoneum and can be done via laparoscopic or robotic surgery. [8] Watchful waiting is the treatment of choice in case of small fistulas. The bladder is catheterised for a period of 4 to 8 weeks in order to allow spontaneous closure of the vesicouterine fistula.
A ureterovaginal fistula is a result of trauma, infection, pelvic surgery, radiation treatment and therapy, malignancy, or inflammatory bowel disease. Symptoms can be troubling for women especially since some clinicians delay treatment until inflammation is reduced and stronger tissue has formed. [2]