A vaginal fistula is usually painless. But a fistula lets urine or feces pass into your vagina. This is called incontinence. And it can cause soiling problems that you cannot control.
A vesicovaginal fistula is a vaginal fistula that opens into the urinary tract.
If you have a vaginal fistula, you will most likely need surgery to repair it. Before surgery, your doctor will see whether the tissue is healthy or needs to heal first.
After fistula repair surgery, be sure to follow your doctor's instructions. See your doctor right away if you have signs of infection, such as a fever, tenderness, swelling, or redness.
Your symptoms are the most clear signs of a vaginal fistula. Your doctor will want to talk about your symptoms and about any surgery, trauma, or disease that could have caused a fistula. For a physical exam, your doctor will use a speculum to look at the vaginal walls. You may have other tests, such as:
Your doctor may also use an X-ray, endoscope or MRI to get a clear look and check for all possible tissue damage.
If you need surgery, follow your doctor's instructions on how to prepare. Take medicines as prescribed. To relieve pain and prevent irritation, keep your vulva clean. Wash with plain water or with mild, unscented soap. Don't douche. Try using pads for any urine or stool leakage. After surgery, follow instructions for care at home.
A vaginal fistula starts with some kind of tissue damage. After days to years of tissue breakdown, a fistula opens up.
A vaginal fistula sometimes happens after:
In areas without health care, vaginal fistulas are more common. After days of difficult labor, vaginal, bladder, or rectal damage can occur, sometimes causing fistulas.
A fistula is a passage or hole that has formed between:
A fistula that has formed in the wall of the vagina is called a vaginal fistula.
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