What is the best treatment for vesicovaginal fistula?

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.
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.

Related Questions

What is the definition or description of: vesicovaginal fistula?

Vesicovaginal fistul. Vesicovaginal fistula is an abnormal connection between the vagina and the bladder. It commonly results in leakage of urine through the vagina. This may be difficult to diagnose and requires a specialist evaluation.

What is a vesicovaginal fistula?

A vesico vaginal. Fistula is an abnormal communication between the urinary bladder and the vagina. Many different possible causes. Best to see a Urologist or Uro-gynecologist who have lots of experience with diagnosis and treatment of this problem.

Is vesicovaginal fistula painful?

No. Vesicovaginal fistulas are complications of previous surgery or radiation, or a result of cancer or severe infection. They generally do not hurt, though the process leading to their formation may cause pain. Women with this condition notice urine coming out of their vagina.
Usually not. A fistula is an abnormal connection between 2 organs. A vesicovaginal fistula is a connection between the bladder and vagina. There is usually no pain and the symptom is uncontrollable leakage of urine; some patients are even unaware that the origin is from the vagina.

Can you die from vesicovaginal fistula?

Unlikely. Untreated bladder infections could cause the infection to travel into your blood and cause sepsis. This is not very common in healthy people. A vesicovaginal fistula can make you more susceptible to a bladder infection.
No reason. Vesicovaginal fistula wordwide is common, usually as result of birthtrauma, but cause in most developed countries is complication of gyn surgery. It won't kill you but symptoms of continually leaking urine and recurrent utis are very unpleasant thus surgical repair is advisable. Some can die in Africa from massive sepsis. Surgery can be quite complex so best to find an experienced pelvic surgeon.

What are the most common symptoms of vesicovaginal fistula?

Urine leakage. A vesicovaginal fistula is a direct connection between the urinary bladder and the vagina. This would allow urine to leak constantly into the vagina. This type fistula would significantly increase the risk for urinary bladder infections.
Leakage. A vesicovaginal fistula is a connection between the bladder and the vagina, so some leakage of urine through the vagina would be expected. There are tests that can be done to determine if this exists. Most commonly these develop after gynecologic or bladder surgeries in women.

Are some women more prone to getting vesicovaginal fistula?

Bad luck. This is very uncommon in america. When vv fistula occurs in america it is usually a post-operative complication of a vaginal surgery (hysterectomy, anterior repair, vaginal cyst removal, etc). Vesicovaginal fistula can occur as a result of a prolonged labor with the resulting pressure necrosis of the vaginal and bladder walls - this typically happens in the absence of good obstetric care.
Yes. Women with more scarring either from surgeries, infections, or trauma (including radiation) can increase the risks of vvf. Hysterectomies along with trauma at delivery (both c-sections and vaginal) are predisposing factors.

My friend says I should get checked to see if I have a vesicovaginal fistula. What is that?

Connection. A vesicovaginal fistula is an abnormal connection between the bladder and vagina. Symptoms might be constant leaking of urine out the vagina, or frequent urinary tract infections. A urogynecologist would be able to evaluate this problem.

My sister says she has vesicovaginal fistula. Are family members more likely to get the same thing?

No. Vesicovaginal fistula is an acquired condition, meaning it is not genetic in origin. There isn't any clear genetic predisposition for this condition.

Vesicovaginal fistula cramps. I've bee n diagnosed with vesicovaginal fistula but have no urine leaking, just pelvic cramps. I had a hysterecyears ag.

Cramps? The main symptom for a fistula between the bladder and vagina would be leaking urine through the vagina. Cramping and pain would be rare. I would recommend getting another examination and opinion.
Ask MD. Best person to discuss this with would be the md who diagnosed the problem. If there is no urine leaking, no other issues and this was a result of surgerey done years ago, it may be best left alone.