Fistulas are an abnormal connection between two organs. A vesicovaginal fistula is an abnormal connection between the bladder and the vagina, that allows continuous urinary leakage (discharge) into the vagina. This problem has a profound effect on a woman’s well-being.
The majority of vesicovaginal fistulas in developed countries are a consequence of gynecological surgery- The majority occurring after a hysterectomy.
- Symptoms that a woman may experience include:
- Uncontrolled leakage into the vagina
- Patients that experience flank back pain
- Infections may be suspect for urethral injury
Small fistulas may sometimes resolve with a foley catheter drainage. However, the majority of times, surgical treatment is needed. Depending on the location of a fistula, the physician may repair the defect either vaginally or abdominally. Trained physicians can repair this robotically, which greatly minimizes post-operative discomfort.