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A video telescope (fistuloscope) to allow surgeons to see inside the fistula tract. A unipolar electrode for diathermy of the internal tract. This is connected to a high frequency generator. A fistula brush and forceps for cleaning the tract and clearing any granulation tissue. The VAAFT procedure is done in two phases, diagnostic and operative.
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.
The diagnosis of a rectovestibular fistula can be made in female newborns if the vulva is stained with meconium (the earliest form of stool in an infant). [3] The opening of the anus may be difficult to see due to its small size and position, but it may be visible as a thickening of the median perineal raphe with an obvious anal dimple.
Preceding the ultrasound examination with Doppler, the penis must be examined in B mode, in order to identify possible tumors, fibrotic plaques, calcifications, or hematomas, as well as to evaluate the appearance of the cavernous arteries, which can be tortuous or atheromatous. [1] Figure 8 Transverse ultrasound image, ventral view of the penis.
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.
At the beginning of the video, his penis is flaccid (non-aroused, soft, and fully flexible). During arousal it becomes engorged with blood and the erectile tissues expand and harden, causing first a partial erection (1:20) in which the penis is larger and slightly firmer but still flexible, and then a full erection (2:30) in which the penis ...
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 ...
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]