Repair of Vesico-Vaginal Fistula

A fistula is a connection between two organs. This procedure is done to repair a fistula between the urinary tract (usually the bladder) and the vagina.

  • Call Your Doctor

    After you leave the hospital, contact your doctor if any of the following occurs:

    • Increasing pressure or pain
    • Redness, soreness, bleeding, or discharge at or around the incision site
    • Changes in frequency, odor, appearance, or amount of urine
    • Inability to urinate
    • Signs of infection, including fever or chills
    • Excess blood in urine (Small amounts are normal.)

    If you think you have an emergency, call for medical help right away.

  • Definition

    A fistula is a connection between two organs. This procedure is done to repair a fistula between the urinary tract (usually the bladder) and the vagina.

    The Urinary Tract
    IMAGE
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  • What to Expect

  • Reasons for Procedure

    A vesico-vaginal fistula repair is done in women with a fistula, which may be caused by:


    • Injury to the urinary tract (eg, may occur during
      childbirth
      , surgery,
      radiation therapy
      )
    • Tumor

    • Certain conditions (eg,
      Crohn’s disease
      )
    • Impaired blood flow (eg, may be due to long labor or radiation therapy)

  • Possible Complications

    Complications are rare. But, no procedure is completely free of risk. If you are planning to have vesico-vaginal fistula repair, your doctor will review a list of possible complications, which may include:

    • Urinary tract infection
      or other infections
    • Irritation or inflammation of the vulva (the opening of the vagina)
    • Injury to bladder, vagina, or urethra (the tube that carries urine outside of the body from the bladder)
    • Bleeding
    • Adverse reaction to anesthesia (eg, low blood pressure, wheezing)

    Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:

    • Smoking
    • Drinking
    • Chronic disease such as diabetes or obesity

    The following may also increase the risk of complications:

    • Taking blood-thinning medicines
    • Having a fistula that is large or complex