Description
An abnormal connection established between the bladder and the vagina. Patients typically have urinary incontinence. The most common causes are trauma during childbirth, gynecologic surgery, vaginal radiation therapy, or invasive cancer of the cervix.
Symptoms
Uncontrolled dribbling of urine, urinary incontinence, urine coming from the vagina, increased vaginal secretions.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed including a pelvic examination. Imaging tests, such as a CT scan with dye, will be done to establish the diagnosis.
Other Specific Tests: Vaginogram, water/blue staining test, cystoscopy
Specialists:
Urology, Obstetrics and Gynecology
Workup:
A history and physical exam will be performed including a pelvic examination. Imaging tests, such as a CT scan with dye, will be done to establish the diagnosis.
Other Specific Tests: Vaginogram, water/blue staining test, cystoscopy
Specialists:
Urology, Obstetrics and Gynecology
Treatment
For small fistulas diverting the urine with a Foley catheter may be the only necessary treatment. Surgery is usually required for all other fistulas.