Symptoma

Vaginal Fistula

They may present as a complication of vaginal surgery, including vaginal hysterectomy. They are a recognized presentation of rectal carcinoma or rarely diverticular disease of the bowel or Crohn's disease. [en.wikipedia.org]

Simple fistulas are usually small in size ( 0.5cm) and are present as single non-radiated fistulas. [ncbi.nlm.nih.gov]

Our patient in the video had previously underwent multiple various repairs which failed to provide adequate resolution of her fistula and therefore presented for a Modified Martius flap repair. [csurgeries.com]

Occasionally, patients present with symptomatic Bartholin gland abscesses during labor. [aafp.org]

  • Intravenous Administration

    After the intravenous administration of the contrast agent, there is high-density material in both the bladder and the vagina, consistent with a VVF Treatment Treatment of patients with VVF must embrace their immediate and, in most cases, subsequent surgical [ncbi.nlm.nih.gov]

  • Disability

    The symptoms reported by majority of patients are unbearable for social, emotional, and sexual morbidity, and may sometimes be disabling. [ncbi.nlm.nih.gov]

  • Abdominal Distension

    Rectovaginal fistula Rectovaginal fistula Specialty Gynecology Diagnostic method • No anal opening • A gloved finger or thermometer cannot be inserted into the infants rectum • No history of passage of meconium • Presence of abdominal distension • Presence [en.wikipedia.org]

  • Colic

    In our case the opening on the anastomosis and the fibrous retraction of the stumps with bleeding were treated infact with lowering the colic stump wasn't possible for its difficult isolation. [ncbi.nlm.nih.gov]

  • Foul Smelling Vaginal Discharge

    Signs and symptoms of a rectovaginal fistula may include: Passage of gas, stool or pus from your vagina Foul-smelling vaginal discharge Recurrent vaginal or urinary tract infections Irritation or pain in the vulva, vagina and the area between your vagina [mayoclinic.org]

  • Bladder Spasm

    Anticholinergic drugs should be administered if bladder spasms occur. As far as causing discomfort to the patient, it has been suggested that these contractions may compromise healing of the repair. [ncbi.nlm.nih.gov]

  • Neglect

    Other causes of VVF include urologic or gynecologic instrumentation, including percutaneous procedure, retroperitoneal, vascular or pelvic surgery, infectious and inflammatory diseases, foreign bodies (including neglected pessaries), sexual trauma, vaginal [ncbi.nlm.nih.gov]

Advanced Procedure Modified Martius flap for rectovaginal fistula Indications Repair of rectovaginal fistula after multiple failed attempts Contraindications Pre-existing dyspareunia (relative) Preoperative Workup CT scan, digital rectal exam, vaginal [csurgeries.com]

  • Pneumoperitoneum

    A five-port technique has been described using a vaginal pack to maintain pneumoperitoneum throughout the case [ 29 ]. The successful closure was confirmed by the retention of pneumoperitoneum after the removal of the vaginal pack. [ncbi.nlm.nih.gov]

  • Gastric Fistula

    fistula 1. one communicating between the stomach and some other body part. 2. a passage created artificially through the abdominal wall into the stomach. horseshoe fistula one near the anus, having a semicircular tract with both openings on the skin. [medical-dictionary.thefreedictionary.com]

Treatment for recto-vaginal fistulas includes either posterior sagittal anorectoplasty, as described above, or a minimally invasive (laparoscopic) pull-through procedure. [cedars-sinai.edu]

"Rectovaginal fistula: Treatment and Management". Medscape. Retrieved 14 August 2012. "Rectovaginal fistula Treatments and drugs - Mayo Clinic". www.mayoclinic.org. Retrieved 2015-12-14. [en.wikipedia.org]

Natural Treatment For Fistula - Rectovaginal * Several years ago, I published an experimental treatment for healing fistulas in my book Listen To Your Gut. [listentoyourgut.com]

guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals. [medtube.net]

A fistula caused by radiation usually forms within six months to two years after treatment. Surgery involving your vagina, perineum, rectum or anus. [mayoclinic.org]

Treatment and prognosis The usual management is surgical with primary resection and anastomosis 4. A conservative management approach may be adopted for poor surgical candidates. [radiopaedia.org]

Hospital-based reports show the incidence to be between 0.6 and 6.5 per 1,000 births. [5] Prognosis The success rate of vesicovaginal and ureterovaginal fistula repair approaches 90% at first attempt and approaches 100% after a second attempt. [emedicine.medscape.com]

Surgical treatment and prognosis of rectovaginal fistulae according to their origin. Zentralbl Chir. 2012; 137 (4):390–395. [ncbi.nlm.nih.gov]

The most common etiology is obstetric injury, followed by radiation injury, inflammatory bowel disease ([IBD], most often Crohn disease), operative trauma, infectious etiologies, and neoplasm. tags: recto-vaginal fistula fistula cancer colonoscopy rectum [medtube.net]

Etiology The etiology of VVF varies and may broadly be categorized into congenital or acquired, the latter being divided into obstetric, surgical, radiation, malignant, and miscellaneous causes. [ncbi.nlm.nih.gov]

For those patients whom surgery is indicated, there are several different approaches depending on the fistula etiology and previous attempts at repair. [csurgeries.com]

In developed countries, radiation injury and Crohn's disease are also common etiological factors. [annalsafrmed.org]

Epidemiology A systematic review over a 35-year period reported 83.2% of fistula in developed countries were iatrogenic whereas 95.2% of fistula in developing countries were the result of obstetric complications. [3] However, the incidence of vesicovaginal [emedicine.medscape.com]

Epidemiological determinants of vesicovaginal fistulas. Br J Obstet Gynaecol. 1983; 90 :387–391. doi: 10.1111/j.1471-0528.1983.tb08933.x. [ PubMed ] [ CrossRef ] [ Google Scholar ] 7. Hilton P. Surgical fistulae and obstetric fistulae. [ncbi.nlm.nih.gov]

Pathophysiology Unrecognized bladder injury during a difficult hysterectomy or cesarean delivery may result in vesicovaginal fistula formation. [emedicine.medscape.com]

In some cases, a preventive intestinal derivation for at least 3-6 months is necessary and is the only possible and definitive therapy. [ncbi.nlm.nih.gov]

The authors theorized that the larger opening prevented occlusion of the newly formed orifice, a feature that may make the window operation more advantageous than the marsupialization procedure. [aafp.org]

Vaginal infections are usually prevented by the protective bacteria (lactobacilli) that normally live in the vagina. These bacteria keep the acidity of the vagina in the normal range. [msdmanuals.com]