2 doctors weighed in:

What is the best treatment for vesicovaginal fistula?

2 doctors weighed in
Dr. Patrick Weix
Obstetrics & Gynecology

In brief: Surgery

When a vesicovaginal fistula has developed, usually after delivery, surgery or radiotherapy, surgery is the treatment.
Depending on the exact condition and size, your gynecologist may correct this, or they may need assistance from a urogynecologist or urologist. The most difficult cases are after radiotherapy for pelvic cancers, as these tissues can be slow to heal.

In brief: Surgery

When a vesicovaginal fistula has developed, usually after delivery, surgery or radiotherapy, surgery is the treatment.
Depending on the exact condition and size, your gynecologist may correct this, or they may need assistance from a urogynecologist or urologist. The most difficult cases are after radiotherapy for pelvic cancers, as these tissues can be slow to heal.
Dr. Patrick Weix
Dr. Patrick Weix
Thank
Dr. Wesley Grootwassink
Obstetrics & Gynecology

In brief: Excision

If a true fistula exists.
The entire tract needs to be removed. If it is just over sown it will just reform the fistula is in essence a tube connecting the bladder and the vagina. That tube needs to be removed then all of the layers closed separately.

In brief: Excision

If a true fistula exists.
The entire tract needs to be removed. If it is just over sown it will just reform the fistula is in essence a tube connecting the bladder and the vagina. That tube needs to be removed then all of the layers closed separately.
Dr. Wesley Grootwassink
Dr. Wesley Grootwassink
Thank
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