Anal Fistula Treatment Hospital in Gurgaon, India
A urinary fistula is an abnormal opening between the urinary tract and the genital tract that leads to abnormal leakage of urine through the vagina. Depending on the location of the opening into the urinary tract, the urinary fistula is called a
Vesicovaginal fistula: when the fistula is between the bladder (vesico stands for bladder) and the vagina. It is the most common type of fistula
Vesicouterine fistula: when the fistula is between the bladder and the uterus
Urethrovaginal fistula: when the fistula is between the urethra and the vagina. The urethra is the tube that empties urine from the bladder.
Ureterovaginal fistula: when the fistula is between the ureter and the vagina. The ureter is the tube that carries urine from the kidney to the bladder.
How does a fistula develop?
A urinary fistula is most commonly caused by injury to the tissue in between the urinary tract and the genital tract leading to breakdown in the barrier between the two. This injury can result from
- Abdominal or vaginal surgery: for example, hysterectomy or a cesarean section. This is the most common cause for a fistula
- Prolonged stretching during childbirth
- Pelvic malignancy such as a cervical cancer
- Radiation therapy
What are the symptoms of an Urinary Fistula?
The symptoms vary depending on where the abnormal opening is located. Symptoms may include:
- Constant urine leakage from the vagina
- Frequent urinary tract infections
- Irritation and excoriation of the skin of the vulva
How is an urinary fistula diagnosed?
A thorough history and physical including pelvic examination may provide many clues about the presence of an urinary fistula. A fistulous opening may be seen in the front wall of the vagina on vaginal examination.
It is necessary to determine the exact location of the fistula tract openings, in the urinary tract and the genital tract. Your doctor may ask for the following tests:
Dye test: a tampon is placed in the vagina and you may be asked to take a tablet that colours urine. If the tampon is discoloured after half an hour, it may point to the presence of a fistula
Cystosscopy: A thin lighted telescope is placed in the bladder to look for abnormal opening into the bladder.
Intravenous pyelogram: It is a test in which an X-ray is taken of the urinary tract after injection of a contrast dye. it helps to localize the fistulous openings and also assess kidney function.
What is the treatment of fistulas?
Some small fistulas that have been detected early may heal just by catheter drainage. Medication to help relax bladder spasms may help. Vaginal estrogen therapy may help to heal the tissue around the fistula. Antibiotics may be necessary to heal infected tissues.
Surgery may be necessary in some patients. Surgical repair is usually performed following the healing of tissue around the fistula. Surgery generally Some small fistulas that are detected early may be treated by catheter drainage. However, since a fistula is an unwanted connection between two organs, the treatment for most fistulas is surgical repair. If you have infection associated with the fistula, your doctor may also prescribe antibiotics or other medications. Contact UPHI for Laser Fistula treatments in Gurgaon.