Frequently Asked Questions
What are the common causes of vesicovaginal fistula?
Common causes of vesicovaginal fistula include complications from childbirth, pelvic surgery, radiation therapy, and inflammatory bowel disease.
What are the diagnostic steps involved in vesicovaginal fistula detection?
A vesicovaginal fistula is typically diagnosed through a medical history review, physical examination, imaging studies like ultrasound or MRI, and sometimes a dye test where dye is inserted into the bladder to check for leakage into the vagina.
What is the ideal timing for closure of vesicovaginal fistula?
The ideal timing for closure of vesicovaginal fistula is usually within 3-6 months after the initial diagnosis to improve the chances of successful repair.
What are the challenges in repairing vesicovaginal fistula in complicated cases?
In complicated cases, challenges in repairing vesicovaginal fistula may include scarring from previous surgeries, inflammation, infection, and poor blood supply to the area.
How does the surgical approach differ based on the size and location of the fistula?
The surgical approach for a fistula can vary depending on its size and location. In general, larger or more complex fistulas may require more extensive surgery to repair compared to smaller or more superficial ones.
What post-operative care is required after vesicovaginal fistula closure?
After vesicovaginal fistula closure, you will need to keep the area clean and dry, avoid heavy lifting, and follow your healthcare provider's instructions regarding wound care and activity restrictions.
What are the risks of recurrence after vesicovaginal fistula repair?
After vesicovaginal fistula repair, the risks of recurrence include infection, poor wound healing, and underlying medical conditions like smoking or obesity.
How is the outcome of the procedure assessed post-surgery?
Doctors usually assess the outcome of surgery based on factors like pain levels, range of motion, and overall function of the treated area. They might also use imaging tests to evaluate healing and check for any complications.
What other treatment options exist if surgical repair fails?
If surgical repair fails, your healthcare provider may recommend non-surgical treatments such as physical therapy, pain management techniques, or other alternative therapies to help manage your symptoms.
Can vesicovaginal fistula closure affect fertility?
Vesicovaginal fistula closure can improve fertility by restoring normal anatomy and function of the reproductive organs.