Urinary Fistula: الناسور البولي
An abnormal communication between the bladder and vagina(Vesico-Vaginal Fistula), due to trauma to bladder wall, by delivery, pelvic surgery, accidents, or during conflict situations (Wars & Rape). Vesico-Vaginal Fistula can also happen in prolonged obstructed labor, causing tissue necrosis to bladder wall, while Vesico-Cervico-Vaginal (VCV) & Uretero-Vaginal Fistula (UVF) happens as a complication of hysterectomy.
1-Vesico-Vaginal Fistula(VVF): between bladder & vagina
2-Vesico-Cervico-Vaginal Fistula(VCVF): between bladder & cervix
3-Uretero-Vaginal Fistula(UVF): between cut ureter & vaginal cuff
These types of fistulas are unfortunately still common in Africa.
Surgical treatment to suture and close the defect in bladder wall, vaginally or abdominally according to level, size, and site of fistula. Uretero-Vagianl fistula requires ureteric re-implantation in bladder wall.
Rectal Fistula: Complete perineal tear الناسور البرازي
Recto- vag fistula: An abnormal communication between rectum and vagina, due to trauma, accidents, rape, or by delivery of large size baby tearing the vagina, perineum, and anal canal on its way out, it causes fecal incontinence, inability to control flatus and defecation can also happen with pelvic floor relaxation
Surgical repair to separate vagina from anal canal, re-suture anal canal, anal sphincter, vagina, reconstruct the perineum, after adequate bowel preparation.
For medical inquiries contact:
Amr Seifeldin, M.D