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Vesicovaginal Fistula

What is the disease?

Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is a strange fistulous tract stretching out between the bladder and the vagina that permits the nonstop automatic release of pee into the vaginal vault. Notwithstanding the therapeutic sequelae from these fistulas, they frequently have a significant impact on the understanding's passionate prosperity. This article surveys the etiology of VVF, the surgical standards of repair, and the strategies created for their repair.


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What are the types of disease?

There are mainly two types of disease: Basic:

  • Fistula is under 2 to 3 cm in size and close to the sleeve (supratrigonal)
  • Patient has no history of radiation or threat
  • Vaginal length is ordinary

    • Complicated:

  • Patient has had past radiation treatment
  • Pelvic threat is available
  • Vaginal length is abbreviated
  • Fistula is more prominent than 3 cm in size
  • Fistula is far off from sleeve or has trigonal inclusion

Sign and Symptoms of the disease?

A vaginal fistula is effortless. Be that as it may, a fistula lets pee or defecation go into your vagina. This is called incontinence. What's more, it can bring about ruining issues that you can't control.

  • On the off chance that you have a vesicovaginal fistula, you in all likelihood have liquid releasing or streaming out of your vagina.
  • On the off chance that you have a rectovaginal, colovaginal, or enterovaginal fistula, you in all likelihood have noxious release or gas originating from your vagina.
  • Your genital range may get tainted or sore.
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Treatment of the disease?

Open Surgical ligation:

Some of the time putting a catheter in the bladder can tackle the issue and permit a fistula to mend. This is particularly genuine soon after some kind of surgical damage. At the point when fistula doesn’t mend all alone they should be shut surgically.

It is imperative to permit satisfactory time for aggravation to determine before surgery is performed. This sitting tight period can be troublesome for patients, yet is crucial to an effective surgical repair. Little fistula can be treated with a vaginal surgery, which is negligibly intrusive. Bigger fistula need broad remaking and frequently is shut from both the vagina and in addition the belly.

Now and again, particularly when radiation causes the fistula, the bladder can't be spared, and patients require some sort of urinary preoccupation to occupy the pee from the bladder and make another bladder made of gut.

Vaginal fistula Surgery

In the event that you have a vaginal fistula, you will doubtlessly require surgery to repair it. Before surgery, your specialist will see whether the tissue is solid or needs to mend first.

You may need pharmaceutical or twisted consideration to recuperate the tissue before surgery.

On the off chance that you have provocative inside infection, your specialist won't do surgery amid a side effect flare. On the off chance that you have a substantial rectovaginal fistula, you might first have a colostomy. This is to keep the fistula clear for the surgery. After the fistula repair mends, the colostomy is taken out.

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