Vesicovaginal fistula (bladder vagina fistula)

About Vesicovaginal fistula (bladder vagina fistula)

An abnormal connection established between the bladder and the vagina. Patients typically have urinary incontinence. The most common causes are trauma during childbirth, gynecologic surgery, vaginal radiation therapy, or invasive cancer of the cervix.

Symptoms

Uncontrolled dribbling of urine, urinary incontinence, urine coming from the vagina, increased vaginal secretions.

Tests & Diagnostics

A history and physical exam will be performed including a pelvic examination. Imaging tests, such as a CT scan with dye, will be done to establish the diagnosis.

Conventional treatment summary

For small fistulas diverting the urine with a Foley catheter may be the only necessary treatment. Surgery is required for all other fistulas.

Medical specialties

Urology · Obstetrics and Gynecology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Vesicovaginal fistula (bladder vagina fistula).