Vesicovaginal Fistula
Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient’s emotional well-being. A vesicovaginal fistula is an unwanted opening that forms between the bladder and the wall of the vagina. The causes for this can include infections, injuries, and inflammation.
What is a vesicovaginal fistula?
A fistula is an unwanted opening that develops between two parts of the body. The causes for this can include infections, injuries, and inflammation. Fistulas can occur in many parts of the body.
A vesicovaginal fistula is an opening that develops between the bladder and the wall of the vagina. The result is that urine leaks out of the vagina, sometimes lightly but it can be steady if the fistula is large. In addition to being a serious medical problem, this condition is very upsetting to women. The leakage is embarrassing and can smell bad.
Causes
Vesicovaginal fistulas are often a complication after surgery to treat problems in the bladder or vagina. They also can be linked to gynaecological cancer, either from the disease or sometimes as a side effect of radiation therapy or surgery to treat cancer. Particularly bad or repeat urinary tract infections can sometimes lead to fistulas too, but this is rare.
- Abdominal surgery
- Pelvic, cervical, or colon cancer
- Radiation treatment
- Bowel disease like Crohn’s or diverticulitis
- Infection (including after an episiotomy or a tear you had when you gave birth)
- Traumatic injury, such as from a car accident
Management options:
- Lap /open transabdominal VVF repair
- Vaginal VVF repair
- VVF fulguration
FAQs
WHAT IS UROLOGY?
Urology is a surgical speciality that addresses male and female diseases of the urinary tract, as well as male reproductive system disorders. Urology is a part of health care that deals with diseases of the male and female urinary tract (kidneys, ureters, bladder and urethra). It also deals with the male organs that are able to make babies (penis, testes, scrotum, prostate, etc.). Since health problems in these body parts can happen to everyone, urologic health is important.
WHAT CAN I DO TO MAINTAIN GOOD UROLOGIC HEALTH ?
The best way to avoid urological problems is to maintain good overall health habits, including exercising regularly, maintaining a healthy weight and avoiding tobacco, excessive alcohol, and caffeine.You should also avoid foods or substances that remove water from the body, known as diuretics.
THERE’S BLOOD IN MY URINE. WHAT MAY BE THE CAUSE?
The presence of blood in the urine could be the result of a minor cause or a serious underlying medical condition. To determine the source, a urologist will perform a thorough evaluation. The blood could be the result of an infection, kidney or bladder stones, cancer of the urinary system, or injury.
IT’S PAINFUL TO URINATE. WHAT COULD BE CAUSING THE PROBLEM?
There are many conditions that could result in painful urination. An infection of the urinary tract or prostate is a common cause, along with obstructions in the urethra, kidney, bladder, or prostate.
Testimonials
My personal experience with Dr. Rajesh Dhake is very good. He was very calm and patient enough to hear my problems and answered all my queries well. He diagnosed the issue well and didn't directly asked for surgery at the first instance. Later also, he didn't suggest for any surgery after getting some more tests done and analyzed. I feel he has very good command on his field and area. I found him to be a Good Doctor.
Dr. Dhake sir is very ground to earth person. He not only supports in health also in mediclaim. He is a best urologist. I got his reference from Google and directly contacted him and he suggested laser operation. I got admitted in sanjivani medipont hospital. I had 15mm stone in ureter near to bladder. He shown the stone while doing the operation. He is also opening his own hospital soon. I will recommend him for kidney related issues. Thank you Dhake sir for your on time support.
One of the most generous and down to earth doctor I have met in Pune. My dad was diagnosed with a very large renal cyst of 11cm during a new medical insurance mandatory check-up.
There was an obvious panic as it was asymptomatic and my town lacked good uro surgeon. Dr Dhake who had earlier consulted for.my renaal stones was generous enough to reply to my Watsapp msg and calls regarding the cyst and told me not to panic and asked me to Wait for further diagnosis . I flew my dad over to Pune and after detailed diagnosis and analysis suggested us to go for surgery .
The surgery was successful and we are absolutely happy with the further OPDs for.the same.
My family's experience with Dhake Sir was really outstanding. My father was treated & operated by Sir for Urethra Stricture. He consulted-advised-guided us very well. He is very good doctor. My father is well now. Afterwards we went again to Sir for my 4 year old Son's urine infection. He guided us correctly. Circumcision was performed on my son by Sir.
Most important thing, for me, was he was always available on WhatsApp. Whenever we had any worries, we used to ask him on WhatsApp message and he was always replying asap. Thank you very much Sir
