Vaginal Fistula
Fistula
Arteriovenous Fistula
Intestinal Fistula
Cutaneous Fistula
Bronchial Fistula
Vascular Fistula
Rectal Fistula
Urinary Fistula
Esophageal Fistula
Pelvic fistulas complicating pelvic surgery or diseases: spectrum of imaging findings. (1/34)
Pelvic fistulas may result from obstetric complications, inflammatory bowel disease, pelvic malignancy, pelvic radiation therapy, pelvic surgery, or other traumatic causes, and their symptoms may be distressing. In our experience, various types of pelvic fistulas are identified after pelvic disease or pelvic surgery. Because of its close proximity, the majority of such fistulas occur in the pelvic cavity and include the vesicovaginal, vesicouterine, vesicoenteric, ureterovaginal, ureteroenteric and enterovaginal type. The purpose of this article is to illustrate the spectrum of imaging features of pelvic fistulas. (+info)Surgical outcome of female genital fistula in Korea. (2/34)
This purpose of this study was to establish a new standard for the surgical management of female genital fistula in Korea. From January 1992 to October 2001, 117 patients with female genital fistula who were admitted to the departments of obstetrics and gynecology, urology and general surgery were analyzed. Nine patients with congenital etiologies and 48 patients who were treated conservatively were excluded. The relationships between surgical outcome and the cause of fistula, the location of fistula, and the various surgical methods were analyzed. In spite of appropriate surgical treatment, fistulas due to cervix cancer management had the worst prognosis. In terms of location, fistula recurrence after surgical repair was most common in the bladder fundus and base. The transvaginal and transrectal approaches are suitable for fistulas located in the lower vagina. The transabdominal approach is appropriate for fistulas located in the functional portions such as the bladder and ureter, for fistulas which are difficult to expose surgically by either the vaginal or rectal approach, or in cases with severe adhesions. In cases of cervix cancer, extra care should be taken during surgical expiration or definitive radiotherapy, especially when the areas involved are the bladder fundus and base. The nature of the surgical approach should be decided by the location of the fistula, the functional importance of the area, and the degree of surgical exposure during the corrective procedures. (+info)Response of fistulating Crohn's disease to infliximab treatment assessed by magnetic resonance imaging. (3/34)
AIMS: To assess fistula track healing after infliximab treatment using magnetic resonance imaging. METHODS: Magnetic resonance imaging and clinical evaluation were performed before and after three infliximab infusions given over a 6-week period. Magnetic resonance images were evaluated for abscesses and fistula tracks. Paired magnetic resonance image examinations were rated 'better', 'unchanged' or 'worse'. Magnetic resonance imaging and clinical outcomes were then compared. RESULTS: Of the 12 referred patients, pre-treatment magnetic resonance imaging detected abscesses in three (two not treated). Of the 10 treated patients, seven had peri-anal fistulas, two of whom also had recto-vaginal fistulas, and three had abdominal wall entero-cutaneous fistulas. After infliximab, four were in remission, one had a response and five were non-responders. One developed a peri-anal abscess. Magnetic resonance imaging improved in six, was unchanged in two and was worse in two. In four of the six with improvement in magnetic resonance imaging, the fistula track resolved, but two of these had clinically persistent entero-cutaneous fistulas. The clinical outcome and magnetic resonance imaging correlated in seven of the 10 patients; in three (two entero-cutaneous and one peri-anal), there was discordance. CONCLUSIONS: Magnetic resonance imaging identifies clinically silent sepsis. Fistulas may persist despite clinical remission. Clinical response to infliximab and clinical correlation with magnetic resonance imaging were poor in patients with abdominal entero-cutaneous fistulas. (+info)Infliximab in refractory pouchitis complicated by fistulae following ileo-anal pouch for ulcerative colitis. (4/34)
AIM: To determine the efficacy of infliximab in the treatment of chronic refractory pouchitis complicated by fistulae following ileal pouch-anal anastomosis for ulcerative colitis. METHODS: This open study included seven patients (four females, three males) with chronic refractory pouchitis complicated by fistulae. Pouchitis was diagnosed by clinical, endoscopic and histological criteria. The sites of the fistulae were as follows: pouch-bladder in one, vaginal in three, perianal in two, and both vaginal and perianal in one. Extra-intestinal manifestations (erythema nodosum, arthralgia) were present in four patients. Crohn's disease was carefully excluded in all patients after re-evaluation of the history, re-examination of the original proctocolectomy specimen and examination of the proximal small bowel. All patients had been treated with antibiotics and three with steroids. Patients received infliximab, 5 mg/kg, at 0, 2 and 6 weeks. Azathioprine (2.5 mg/kg) was also started for all patients as bridge therapy. Clinical response was classified as complete, partial or no response. Fistulae closure was classified as complete (cessation of fistulae drainage and total closure of all fistulae), partial (a reduction in the number, size, drainage or discomfort associated with fistulae) or no closure. The pouchitis disease activity index and quality of life were also used as outcome measures. RESULTS: Clinically, all patients improved. At the 10-week follow-up, six of the seven patients had a complete clinical response, and five had complete fistulae closure. At the 10-week follow-up, the median pouchitis disease activity index decreased from 12 (baseline) (range, 10-15) to 5 (range, 3-8); the median quality of life decreased from 37 points (range, 33-40) to 14 (range, 9-18). Erythema nodosum and arthralgia showed complete remission soon after the first infusion of infliximab. CONCLUSIONS: These preliminary results indicate that infliximab may be recommended for the treatment of refractory pouchitis complicated by fistulae following ileal pouch-anal anastomosis for ulcerative colitis. (+info)Gynecological aspects of obstetrical delivery. (5/34)
Parturition should be looked upon as a physiological exercise, and ideally the multiparous state should be one of asymptomatic change associated with comfortable function. However, because obstetrics is a field in which serious complications may suddenly occur, the ideal is not always possible. Among the delayed effects of delivery is a group of gynecological complications which may affect the well-being of the woman so involved in later life. Such complications as uterine prolapse, cystocele, rectocele, enterocele, and genital fistula may be the grim aftermath of poor obstetric practice.The article reviews some of the advances in the prevention of maternal mortality and morbidity and emphasizes the important place of intelligent conservative obstetrics in the hands of both general physicians and specialists. (+info)Fistula response to methotrexate in Crohn's disease: a case series. (6/34)
BACKGROUND: Controlled trials have demonstrated the efficacy of methotrexate in the induction and maintenance of remission in luminal Crohn's disease; however, its effect on fistulizing disease is unknown. AIM: To describe the response to methotrexate therapy in a series of patients with fistulizing Crohn's disease. METHODS: A retrospective chart review was conducted of all patients with Crohn's disease receiving methotrexate in one practice. The response of patients with fistulizing and luminal disease was assessed using clinical and laboratory criteria. Fistula response was categorized as either complete or partial closure. RESULTS: Thirty-seven courses of methotrexate therapy were given to 33 patients with luminal and/or fistulizing Crohn's disease. In 16 patients with fistulas, four (25%) had complete closure, five (31%) had partial closure and all had failed or were intolerant to 6-mercaptopurine therapy. Overall, response to methotrexate was seen in 23 of 37 (62%) treatment courses in patients with luminal and/or fistulizing Crohn's disease. Two of the 33 patients (6%) had a significant adverse event. CONCLUSIONS: In this case series, 56% of patients with Crohn's fistulas on methotrexate showed a complete or partial response to therapy. Further studies are needed to confirm the role of methotrexate alone, and in combination with other therapies, for the treatment of fistulizing Crohn's disease. (+info)Biliary stent causing colovaginal fistula: case report. (7/34)
OBJECTIVES: Perforation of the bowel during placement of a biliary stent is a known complication of this procedure. We report the endoluminal loss of a biliary stent during routine stent extraction that ultimately led to a chronic colovaginal fistula. This case emphasizes the need for evaluation of fecal passage of stents in patients with a known dislodged prosthesis. CASE REPORT: A 65-year-old white female underwent biliary stent placement for an episode of choledocholithiasis. The stent was lost in the duodenum during routine extraction. The patient was managed expectantly. She denied ever passing this stent via the rectum and began to develop symptoms of colovaginal fistula. Evaluation found a retained biliary stent in the sigmoid colon and a fistula into the vagina. The patient underwent elective low anterior resection and colovaginal fistula repair. DISCUSSION: Reports exist of migration of stents that lead to acute colonic perforation and the need for emergent surgery. For this reason, it has been suggested that dropped or migrated stents be purposefully retrieved. However, if the option of expectant observation is used, it is important to clearly document the fecal passage of these stents and be prepared to retrieve these objects if they have a prolonged bowel transit time. (+info)Transvaginal sonographic diagnosis of a tumor fistula. (8/34)
We report on two cases of advanced pelvic cancer in women who presented with profuse vaginal watery discharge. In both cases, transvaginal ultrasound revealed a fistulous tract connecting the tumor to the apex of the vaginal vault. The differential diagnoses and a review of the literature are discussed. (+info)A vaginal fistula is an abnormal opening or connection between the vagina and another organ, such as the bladder (resulting in a vesicovaginal fistula), the rectum (resulting in a rectovaginal fistula), or the colon (resulting in a colovaginal fistula). This condition can lead to various complications, including chronic urinary or fecal incontinence, infection, and difficulty with sexual intercourse.
Vaginal fistulas are often caused by obstetric trauma, such as prolonged labor, or may be the result of surgery, radiation therapy, injury, or infection. Symptoms can vary depending on the size and location of the fistula but typically include abnormal discharge, pain, and foul-smelling odor. Treatment usually involves surgical repair of the fistula, although smaller fistulas may sometimes heal on their own with proper care and management.
A fistula is an abnormal connection or passage between two organs, vessels, or body parts that usually do not connect. It can form as a result of injury, infection, surgery, or disease. A fistula can occur anywhere in the body but commonly forms in the digestive system, genital area, or urinary system. The symptoms and treatment options for a fistula depend on its location and underlying cause.
An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. This connection causes blood to flow directly from the artery into the vein, bypassing the capillary network that would normally distribute the oxygen-rich blood to the surrounding tissues.
Arteriovenous fistulas can occur as a result of trauma, disease, or as a planned surgical procedure for patients who require hemodialysis, a treatment for advanced kidney failure. In hemodialysis, the arteriovenous fistula serves as a site for repeated access to the bloodstream, allowing for efficient removal of waste products and excess fluids.
The medical definition of an arteriovenous fistula is:
"An abnormal communication between an artery and a vein, usually created by surgical means for hemodialysis access or occurring as a result of trauma, congenital defects, or disease processes such as vasculitis or neoplasm."
An intestinal fistula is an abnormal communication or connection between the intestines (or a portion of the intestine) and another organ or the skin surface. This connection forms a tract or passage, allowing the contents of the intestines, such as digestive enzymes, bacteria, and waste materials, to leak into other body areas or outside the body. Intestinal fistulas can develop due to various reasons, including inflammatory bowel diseases (like Crohn's disease), infections, complications from surgery, radiation therapy, or trauma. They can cause symptoms such as abdominal pain, diarrhea, skin irritation, and infection. Treatment of intestinal fistulas often involves a combination of medical management, nutritional support, and surgical intervention.
A cutaneous fistula is a type of fistula that occurs when a tract or tunnel forms between the skin (cutaneous) and another organ or structure, such as the gastrointestinal tract, vagina, or urinary system. Cutaneous fistulas can result from various medical conditions, including infections, inflammatory diseases, surgical complications, trauma, or malignancies.
Cutaneous fistulas may present with symptoms such as drainage of fluid or pus from the skin, pain, redness, swelling, or irritation around the affected area. The treatment for cutaneous fistulas depends on their underlying cause and can range from conservative management with antibiotics and wound care to surgical intervention.
It is essential to seek medical attention if you suspect a cutaneous fistula, as untreated fistulas can lead to complications such as infection, sepsis, or tissue damage. A healthcare professional can provide an accurate diagnosis and develop an appropriate treatment plan based on the individual's needs.
A bronchial fistula is an abnormal connection or passage between the bronchial tree (the airways in the lungs) and the surrounding tissues, such as the pleural space (the space between the lungs and the chest wall), blood vessels, or other organs. This condition can result from various causes, including lung injury, infection, surgery, or certain diseases such as cancer or tuberculosis.
Bronchial fistulas can lead to symptoms like coughing, wheezing, shortness of breath, and chest pain. They may also cause air leaks, pneumothorax (collapsed lung), or chronic infections. Treatment for bronchial fistulas depends on the underlying cause and severity of the condition but often involves surgical repair or closure of the abnormal connection.
A vascular fistula is an abnormal connection or passage between the artery and vein, which usually results from a surgical procedure to create access for hemodialysis in patients with chronic kidney disease. This communication allows blood to flow directly from the artery into the vein, bypassing the capillary network and causing high-flow conditions in the affected area. Over time, the increased pressure and flow can lead to various complications such as venous hypertension, stenosis, aneurysm formation, or even heart failure if left untreated. Vascular fistulas may also occur spontaneously due to certain medical conditions like vasculitis, trauma, or infection, although this is less common.
A rectal fistula is an abnormal connection or tunnel that develops between the rectum, which is the lower end of the colon, and another organ or the skin surface surrounding the anus. This condition often results from inflammation, infection, trauma, or surgery in the anal area. The fistula can cause symptoms such as pain, discharge, irritation, and swelling around the anus. In some cases, it may also lead to complications like abscesses or recurrent infections if not treated promptly and effectively. Treatment options typically include surgical intervention to close the fistula and promote healing of the affected tissues.
A gastric fistula is an abnormal connection or passage between the stomach and another organ or the skin surface. This condition can occur as a result of complications from surgery, injury, infection, or certain diseases such as cancer. Symptoms may include persistent drainage from the site of the fistula, pain, malnutrition, and infection. Treatment typically involves surgical repair of the fistula and management of any underlying conditions.
A urinary fistula is an abnormal connection or passage between the urinary tract and another organ or tissue, such as the bladder, ureter, or kidney, and the skin, vagina, or intestine. This condition can lead to urine leakage through the abnormal opening, causing discomfort, infection, and other complications if not treated promptly and effectively. Urinary fistulas can be caused by various factors, including surgery, injury, radiation therapy, inflammation, or cancer. The type and location of the fistula will determine the specific symptoms and treatment options.
An esophageal fistula is an abnormal connection or passage between the esophagus (the tube that carries food and liquids from the throat to the stomach) and another organ, such as the trachea (windpipe) or the skin. This condition can result from complications of certain medical conditions, including cancer, prolonged infection, or injury to the esophagus.
Esophageal fistulas can cause a variety of symptoms, including difficulty swallowing, coughing, chest pain, and fever. They can also lead to serious complications, such as pneumonia or sepsis, if left untreated. Treatment for an esophageal fistula typically involves surgical repair of the abnormal connection, along with management of any underlying conditions that may have contributed to its development.
A biliary fistula is an abnormal connection or passage between the biliary system (which includes the gallbladder, bile ducts, and liver) and another organ or structure, usually in the abdominal cavity. This connection allows bile, which is a digestive fluid produced by the liver, to leak out of its normal pathway and into other areas of the body.
Biliary fistulas can occur as a result of trauma, surgery, infection, or inflammation in the biliary system. Symptoms may include abdominal pain, fever, jaundice (yellowing of the skin and eyes), nausea, vomiting, and clay-colored stools. Treatment typically involves addressing the underlying cause of the fistula, such as draining an infection or repairing damaged tissue, and diverting bile flow away from the site of the leak. In some cases, surgery may be necessary to repair the fistula.
Wartime sexual violence
Vesicovaginal fistula
J. Marion Sims
Urethrovaginal fistula
Obstetric fistula
Chassar Moir
Vaginal flatulence
Anarcha Westcott
Urogenital fistula
Mamitu Gashe
Rectovaginal fistula
M. Ijaiya's technique
Vesicouterine fistula
National Council of Women's Societies
François Joseph Herrgott
Moritz Schuppert
Vaginal dilator
Rectal prolapse
Cutting for Stone
Postpartum disorder
Vaginal anomalies
Urinary incontinence
Vulvar Crohn's disease
Partial androgen insensitivity syndrome
Nigeria
Gishiri cutting
Hilda Adefarasin
Gianna Beretta Molla
Genital trauma
Rape during the First and Second Congo Wars
Repair of Vesico-Vaginal Fistula - Health Library
PRIME PubMed | [High colonic-vaginal fistulas]
Vaginal Fistula Specialists NYC | Mount Sinai - New York
Vaginal Fistula Treatment Locations NYC | Mount Sinai - New York
Vaginal Fistula | CS Mott Children's Hospital | Michigan Medicine
Reasons women suffer from Vesico Vaginal Fistula - Daily Trust
Vaginal gas: Common causes and prevention
Vaginal fistula abdominal - Frankston Urology Services | Mornington Urologist
Pelvic Floor Health | Baylor Medicine
Vaginal repair of ureterovaginal fistula may be suitable for selected cases
Wartime sexual violence - Wikipedia
Proctitis: MedlinePlus Medical Encyclopedia
Vesicovaginal and Ureterovaginal Fistula: Practice Essentials, Pathophysiology, Etiology
Management of pouch-vaginal fistulas - experience from our institution. - Experimental Medicine Division
ICS/IUGA 2010 Workshop 28 - Vaginal Fistula Repair; Aspects of the Real Problem and theTotal Approach
Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment. | Surg Technol Int;35: 189-198, 2019...
CDC Reminds Clinical Laboratories and Healthcare Infection Preventionists of their Role in the Search and Containment of...
THE INFLUENCE OF MEDIA CAMPAIGNS ON VESICO VAGINAL FISTULA PREVENTION AND CONTROL IN NORTH WEST NIGERIA | Free Research Project
Sudden fatal bleeding from a uretero-arterial fistula combined with pre-existing uretero-colic and uretero-vaginal fistulas 7...
The DHS Program - Comparative Analysis of a Proxy Measurement of Vaginal Fistula: Supplement to DHS Analytical Studies No. 17 ...
Raymond Rackley, MD | Cleveland Clinic
Dr. Gary Fruhman, MD, Maternal-Fetal Medicine Specialist - Staten Island, NY | Sharecare
Müllerian Adenosarcoma of the Vaginal Stump: A Case Report and Literature Review
Maximum Surgical Blood Ordering Schedule (MSBOS) - HSE.ie
Bah Mamadou Bissiriou - Articles - Scientific Research Publishing
Dr. Joseph Gillespie, MD, Urology Specialist - Portland, OR | Sharecare
Vaginal Mesh Lawsuit,Pelvic Mesh Attorneys,TVM Lawyer
Milena Weinstein, MD - Obstetrics and Gynecology
Search | Page 4 | The Embryo Project Encyclopedia
Vesicovaginal fistula8
- A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula . (mottchildren.org)
- Vesicovaginal fistula is a free communication between the urinary bladder and the vagina. (medscape.com)
- In addition, a methylene blue dye test is a reliable way to establish the diagnosis of vesicovaginal fistula. (medscape.com)
- [ 3 ] Cystoscopy with bilateral retrograde pyelogram is necessary for the diagnosis and differentiation between ureterovaginal and vesicovaginal fistula. (medscape.com)
- Once the fistula site has been identified, a ureteral stent for ureterovaginal fistula and urethral catheter for vesicovaginal fistula can be employed for symptomatic relief from the incontinence. (medscape.com)
- For surgical correction of vesicovaginal fistula, the transabdominal and transvaginal approaches are commonly chosen. (medscape.com)
- Unrecognized bladder injury during a difficult hysterectomy or cesarean delivery may result in vesicovaginal fistula formation. (medscape.com)
- J' Marion Sims, dubbed the "father of American gynecology," designed the vaginal speculum and developed a treatment for vesicovaginal fistula (VVF). (chicagodefender.com)
Vagina22
- A vesico-vaginal fistula is an abnormal connection between the urinary tract and the vagina. (epnet.com)
- This type of fistula can cause uncontrolled urine leakage through the vagina. (epnet.com)
- A fistula that has formed in the wall of the vagina is called a vaginal fistula. (mottchildren.org)
- But a fistula lets urine or feces pass into your vagina. (mottchildren.org)
- If you have a vaginal fistula that opens into the urinary tract, you most likely will have urine leaking out of your vagina. (mottchildren.org)
- If you have a vaginal fistula that opens to your rectum or colon, you most likely have foul-smelling discharge or gas coming from your vagina. (mottchildren.org)
- Your vagina or vulva may get irritated or infected if you have a fistula. (mottchildren.org)
- Vesico-vaginal fistula (VVF) refers to a hole that develops between the vagina and the bladder, leading to uncontrollable leaking of urine through the vagina. (dailytrust.com)
- Vesico-vaginal fistula (VVF) is a situation where a woman leaks urine through the vagina uncontrollably and not through the normal pathway," said Prof. Sunday Adeoye of the National Vesico-Vaginal Fistula Centre Abakaliki, Ebonyi State. (dailytrust.com)
- Vaginal gas occurs when air becomes trapped in the vagina. (medicalnewstoday.com)
- There is usually some air in the vagina, but vaginal gas may occur when larger pockets or bubbles become stuck and slowly squeak out, or when the air is released suddenly. (medicalnewstoday.com)
- Vaginal gas is when large pockets of air become trapped in the vagina. (medicalnewstoday.com)
- Usually, the only symptoms of vaginal gas are the noise and sensation of trapped air leaving the vagina, which is typically painless. (medicalnewstoday.com)
- While unsupported by direct research, a limited study found that the use of a pessary, a circular device that sits inside the vagina to help support tissue affected by pelvic organ prolapse, decreased vaginal gas symptoms. (medicalnewstoday.com)
- Fistulas can develop between the vagina and several other pelvic organs. (medicalnewstoday.com)
- Ureterovaginal fistula is a communication between the distal ureter and the vagina. (medscape.com)
- Vesico-vaginal fistula is defined as an abnormal passage that connects the bladder to the vagina and affects over 3 million women worldwide. (bvsalud.org)
- Vesico Vaginal Fistula is an abnormal communication between the urinary bladder and the vagina that result into constant involuntary discharge of urine into the vagina. (com.ng)
- I have vaginal cancer in the cuff of the vagina. (bladdercancersupport.org)
- These can include narrowing of the vaginal canal or a fistula (an abnormal connection between the new vagina and the rectum or bladder). (hopkinsmedicine.org)
- In general, urine can only leak into the vagina if there is a fistula, which is a an opening between the bladder or cystocele and the vaginal wall from some type of tissue damage. (empowher.com)
- A vaginal fistula involves an abnormal connection between the vagina and another organ nearby, such as the bladder, colon or rectum, causing urine or stool to pass through the vagina. (ohsu.edu)
Prolapse3
- The Pelvic Floor Health Center is a multidisciplinary program that specializes in the diagnosis and treatment of defecation disorders and other disorders of the pelvic floor, including fecal incontinence, constipation, rectovaginal fistulas, pelvic organ prolapse and neurogenic bowel disorders. (bcm.edu)
- In developed countries, more than 50% of such fistulae occur after hysterectomy for benign diseases such as uterine fibroids, menstrual dysfunction, and uterine prolapse . (medscape.com)
- Dr. Weinstein evaluates and treats patients with complex pelvic floor disorders including urinary incontinence and pelvic organ prolapse, which can include uterine prolapse, vaginal vault prolapse, anterior vaginal wall prolapse (cystocele), and posterior vaginal wall prolapse (rectocele). (massgeneral.org)
Vesico-vaginal fistul1
- Jatoi N, Jatoi N, Shaikh F, Ssirichand P. Key to successful vesico-vaginal fistula repair: an experience of urogenital fistula surgeries and outcome at gynecological surgical camp 2005. (epnet.com)
Laparoscopic3
- The utilization of laparoscopic and robotic-assisted technology is increasing, particularly in the setting of ureterovaginal fistulae and supratrigonal vesicovaginal fistulae, and has lower morbidity than traditional open approaches. (medscape.com)
- The center provides surgical and non-surgical treatment options, including minimally invasive surgeries such as vaginal, laparoscopic, and/or robotic-assisted surgeries. (massgeneral.org)
- This less than 8-minute video includes: a transperitoneal laparoscopic vesico-bladder fistula repair due to an iatrogenic obstetric hysterectomy, the second part is a transperitoneal laparoscopic radical nephrectomy of a central kidney cancer, and finally an extraperitoneal radical prostatectomy. (oatext.com)
Hysterectomy3
- Open hysterectomy is linked to most vesicovaginal tract fistulas. (mottchildren.org)
- The acute onset of urinary incontinence occurring shortly after a hysterectomy should raise suspicions for vesicovaginal or ureterovaginal fistulae. (medscape.com)
- I just discovered I had prolaspe although I think it was coming on for a long time, I had 4 vaginal births and a hysterectomy many years ago. (empowher.com)
Abnormal connection1
- In rare cases, however, it can be a sign of more serious conditions that require medical treatment, such as vaginal fistulas, which are caused by an abnormal connection between two organs. (medicalnewstoday.com)
Discharge4
- You should douche at least once a week, depending on the amount of vaginal discharge you are experiencing. (hopkinsmedicine.org)
- If you notice you are having a lot of vaginal discharge, you can increase your douching schedule. (hopkinsmedicine.org)
- A urethral diverticulum is a small pouch that develops on the wall of the urethra, adversely affecting the urinary tract and causing infections, painful intercourse, dribbling, or vaginal discharge. (ohsu.edu)
- Physiologic vaginal discharge occurs daily in many women, and volume may increase when estrogen levels are high. (msdmanuals.com)
Incontinence2
- The urine from the bladder freely flows into the vaginal vault, leading to total or continuous incontinence. (medscape.com)
- Urinary incontinence resulting from these fistulae may mimic symptoms of stress urinary incontinence although it is generally more significant than traditional stress urinary incontinence. (medscape.com)
Rectovaginal fistula2
- A vaginal fistula that opens into the rectum is called a rectovaginal fistula . (mottchildren.org)
- If you have a large rectovaginal fistula, you may first have a colostomy . (mottchildren.org)
Obstetric3
- Obstetric trauma and delays in receiving obstetric care are the most common causes of urinary fistulae in medically underserved countries. (medscape.com)
- Child marriage is driven by poverty and has many effects on girls' health: increased risk for sexually transmitted diseases, cervical cancer, malaria, death during childbirth, and obstetric fistulas. (cdc.gov)
- Other areas comprise of Infertility, Obstetric Fistula, and cross-cutting issues. (who.int)
Complications2
- She also sees patients with mesh-related complications (mesh erosion, mesh exposure), urogenital fistula, and other pelvic floor issues. (massgeneral.org)
- In the surgery group, 6 of 37 surgeries were accompanied by major complications: anastomosis dehiscence, intra-abdominal bleeding, fistula, and colostomy occlusion. (medscape.com)
Urine1
- This can cause leakage of urine, feces, or gas through the fistula, leading to discomfort and embarrassment. (bcm.edu)
Symptoms4
- Surgery will close the fistula to stop symptoms. (epnet.com)
- Your symptoms are the most clear signs of a vaginal fistula. (mottchildren.org)
- Your doctor will want to talk about your symptoms and about any surgery, trauma, or disease that could have caused a fistula. (mottchildren.org)
- The symptoms of a fistula differ, depending on the location. (medicalnewstoday.com)
Posterior3
- Most vesicovaginal fistulae occur when dissection of the bladder during the mobilization of the bladder flap causes devascularization or an unrecognized tear of the posterior bladder wall. (medscape.com)
- In March 1998, the patient was found to have multiple polys in the vaginal posterior fornix and a fistula that was at the posterior fornix and extended to the pelvic cavity. (scirp.org)
- There are many different types of surgeries for these conditions, such as retropubic, transobturator, anterior repair, vaginal vault suspension, and posterior repair. (stark-stark.com)
Anal3
- AIM:Pouch-vaginal fistula (PVF) is an uncommon but serious complication of ileo-anal pouch reconstruction. (ox.ac.uk)
- What I must express to you is that I am now afraid of developing an anal fistula which my doctor said happens to 50% of patients. (abchomeopathy.com)
- Between this anal one and the vaginal one on the bartholins gland, I really have a fear of my own body. (abchomeopathy.com)
Surgeries2
- Although cesarean delivery and pelvic surgeries are associated with an increased risk of vaginal gas, a 2012 study found that most cases of vaginal gas began after vaginal delivery. (medicalnewstoday.com)
- Due to two parallel fistulas in cervix, severe endometriosis and adenosarcoma, she has undergone radical and multiple surgeries. (scirp.org)
Bladder5
- Alternatively, if the vaginal cuff suture was unknowingly incorporated into the bladder, this can result in tissue ischemia, necrosis, and subsequent fistula formation. (medscape.com)
- I still have the bladder fistula. (bladdercancersupport.org)
- I have found a doctor in Longview, Texas and specializes in bladder reconstruction and he is very confident that he can repair the bladder fistula satisfactorily along with reconstruction of the kidney ureters to improve the function of my kidneys. (bladdercancersupport.org)
- actually right at the area where the bladder fistula is located. (bladdercancersupport.org)
- Consequently, vaginal tissues become dry and atrophic, pelvic floor muscles weaken, and bladder urgency can become a problem (Robinson & Cardozo, 2011). (medscape.com)
Surgery10
- If you have a vaginal fistula, you will most likely need surgery to repair it. (mottchildren.org)
- This is to keep the fistula clear for the surgery. (mottchildren.org)
- After fistula repair surgery, be sure to follow your doctor's instructions. (mottchildren.org)
- Treatment options may include surgery, medication or a combination of both, depending on the severity of the fistula. (bcm.edu)
- After the surgery, persistent vaginal vault masses were noticed, and eight resections of the polyps at vaginal stump were performed. (scirp.org)
- After the surgery, the patient had recurrent vaginal stump polyps for 10 years. (scirp.org)
- Large, numerous, or persistent fistulas usually require surgery . (medicalnewstoday.com)
- Fistulas that do not respond to medications increase the risk of sepsis and may require emergency surgery . (medicalnewstoday.com)
- Starting eight days after surgery, you will begin douching (cleansing the vaginal canal). (hopkinsmedicine.org)
- Commonly found in those have recently had surgery or radiation, fistulas are not only painful, but can carry significant emotional distress along with physical discomfort. (ohsu.edu)
Pathophysiology1
- The present review aims to analyze the current information available on the pathophysiology, clinical presentation and treatment of vesico-vaginal fistulas (VVF), with particular focus on the safety and efficacy of minimally invasive surgical (MIS) techniques . (bvsalud.org)
Cystocele1
- Having a cystocele does not mean you will develop a fistula. (empowher.com)
Occur1
- Fistulas occur when an abnormal, hollow chamber develops between two otherwise normally unconnected organs. (medicalnewstoday.com)
Colostomy2
- Besides the surgical treatment of the fistula, in most cases, the contemporary colostomy is required. (unboundmedicine.com)
- After the fistula repair heals, the colostomy is taken out. (mottchildren.org)
Canal6
- Vaginal gas usually causes a noticeable sound as the trapped air vibrates through the vaginal canal. (medicalnewstoday.com)
- However, the fistula was dangerously close to her vaginal canal. (continence.org.au)
- Vaginoplasty involves rearranging tissue in the genital area to create a vaginal canal (or opening) and vulva (external genitalia), including the labia. (hopkinsmedicine.org)
- To create the vaginal canal, the surgeon uses a combination of the skin surrounding the existing penis along with the scrotal skin. (hopkinsmedicine.org)
- Depending on how much skin is available in the genital area, the surgeon may need to use a skin graft from the abdomen or thigh to construct a full vaginal canal. (hopkinsmedicine.org)
- I imagine, this women's urethral opening is not right under her clitoris but much lower and closer to the entrance of the vaginal canal so the tampon is acting to pull the uretheral opening even more inside. (empowher.com)
Obstetrics1
- A multidisciplinary approach is especially helpful for patients with pelvic floor dysfunction and previous surgical intervention, pelvic floor trauma and/or obstetrics injury during vaginal delivery. (bcm.edu)
Vulvar1
- There are no routine screening tests or procedures for vulvar, vaginal, or penile cancers. (hivguidelines.org)
Abdominal pain1
- Müllerian adenosarcomas are rare tumors with non-specific clinical features, and this forms a circumstance that poses significant challenges to the clinical practice or even delayed treatment when women presented with complaints of abdominal pain and irregular vaginal bleeding from the endometriosis postoperatively. (scirp.org)
Speculum1
- For a physical exam, your doctor will use a speculum to look at the vaginal walls. (mottchildren.org)
Repair2
- Fistulae can lead to significant impacts on mental health, and repair has been demonstrated to greatly improve both anxiety and depression scales. (medscape.com)
- Surgical principles for fistula repair, described independently by Angioli and Couvelaire, must always be followed. (bvsalud.org)
Urinary tract1
- The vaginal wall and wall of the urinary tract will then be closed. (epnet.com)
Painless1
- A vaginal fistula is usually painless. (mottchildren.org)
Cancers1
- My vaginal cancer and all other associated cancers resulting in my Stage IV cancer diagnosis are gone. (bladdercancersupport.org)
Recurrent1
- Finally, adenosarcoma associated with endometriosis was diagnosed from recurrent vaginal masses. (scirp.org)
Pelvic floor2
- However, some pelvic floor conditions have been linked in some way to an increased risk of vaginal gas. (medicalnewstoday.com)
- Kegel exercises, known to improve the strength of pelvic floor muscles, may also reduce the likelihood of vaginal gas. (medicalnewstoday.com)
Rectal1
- A urinary, vaginal, or rectal fistula is a medical condition where a hole develops between the urinary, vaginal or rectal tract and the surrounding tissue. (bcm.edu)
Vaginitis1
- Overview of Vaginitis Vaginitis is infectious or noninfectious inflammation of the vaginal mucosa, sometimes with inflammation of the vulva. (msdmanuals.com)
Intestinal2
- Fistulas usually contain intestinal bacteria and other infectious material, so doctors will use antibiotics to treat them. (medicalnewstoday.com)
- Sixteen patients (ten with one or more intestinal fistula) developed abdominal wall dehiscence were included in this study. (who.int)
Transvaginal2
- However, in the setting of an infratrigonal fistula, the transvaginal approach (provided that the surgeon is comfortable with it) is beneficial because it avoids the morbidity from a midline incision. (medscape.com)
- We specialize in pelvic mesh, transvaginal mesh, TVM settlements, allow an experienced Stark & Stark vaginal mesh attorney help you today. (stark-stark.com)
Procedure1
- As a result of this research, Sims did pioneer a procedure to resolve vaginal fistulas. (vielmetter.com)
Diagnosis2
- In this paper, the authors present the definition, etiology, clinical features, diagnosis and preparations for the surgical treatment of colovaginal fistulas. (unboundmedicine.com)
- At last, the patient's histological features support the diagnosis of vaginal adenosarcoma. (scirp.org)
Surgical treatment2
- The fistulas commonly resulted from the surgical treatment, radiotherapy, parturition injuries and Crohn's disease. (unboundmedicine.com)
- Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment. (bvsalud.org)
Organ2
- A fistula is defined as a communication between 2 organ sites. (medscape.com)
- A fistula is an abnormal passageway that connects one organ to another. (medicalnewstoday.com)
Typically2
- Supratrigonal fistulae (fistulas above the interureteric ridge) were typically approached transabdominally. (medscape.com)
- sometimes causes vaginal itching, tingling, or burning, A first outbreak typically manifests with pain and ulceration. (msdmanuals.com)
Tissue damage1
- A vaginal fistula starts with some kind of tissue damage. (mottchildren.org)