GENITO URINARY FISTULA वजाइनल फिस्टुला के कारण, लक्षण और उपचार

GENITO URINARY FISTULA 

Abnormal connection found between genital tract and urinary bladder, is known as genito urinary fistula. 

1. VESICOVAGINAL FISTULA :-

DEFINITION :- In a female, abnormal communi-cation found between urinary bladder and vagina is known as vesicovaginal fistula.

Causes :-

• After child birth such as due to obstructed labour, prolonged labour etc.

• Trauma

• Carcinoma of vagina, cervix or urinary bladder.

• Injury during surgical procedure such as during abdominal hysterectomy etc.

Clinical features  :-

• Constant dribbling of urine through the vagina is its characteristics feature.

Management  :-

• Catheter drainage of the bladder for some days. It closes the abnormal connection spontaneously.

• Surgical management - Surgical repairing of the fistula is done.

        2. URETEROVAGINAL FISTULA :- 

DEFINITION :- Abnormal communication found between ureter and vagina, is known as Ureterovaginal fistula.

Causes :-

• Trauma

• Surgery in pelvic are

• Infection

• Radiotherapy

Clinical features :-

Continuous escape of urine through the vagina.

Management -

• Correction of fistula by surgical procedure. 

        3. URETHROVAGINA FISTULA :- 

DEFINITION :-  Abnormal communication found between female urethra and vagina, is known as urethrovaginal fistula.

Causes :-

• After child birth such as during prolonged labour, obstructed labour etc.

• After incontinence surgery.

• Trauma such as pelvic fractures.

• Radiotherap

• Carcinoma of cervix or vagina etc.

Clinical features :-

• Continuous dribbling of the urine through the vagina.

Management :-

• Surgical repairing of the defect is done.

        4. RECTOVAGINAL FISTULA :- 

DEFINITION :-   Abnormal communication found between female rectum and vagina, is known as rectovaginal.

Causes :-

• Injury during child birth such as during obstructed labour.

• Trauma during surgical procedures in the pelvic area.

• Carcinoma of vagina, cervix or intestines. Inflammatory Bowel Disease such as Crohn's disease.

• Radiotherapy

Clinical features :-

• Passage of flatus or stool through the vagina.

Management :-

• Surgical repairing of the fistula is done.

BY :- A. KUMAR.