Vaginal bladder fistula: Difficulty speaking

The article was consulted professionally by Master, Dr. Nguyen Manh Thang – Doctor of Urology – General Surgery Department – Anesthesiology – Share99 Hai Phong InternationalHealth Hub.

Vaginal bladder fistula is a difficult disease to say because it often manifests itself in inauran, causing many inconveniences in the patient's daily life. Therefore, the disease needs to be treated early.

1. Causes of vaginal bladder leakage

Vaginal bladder fistula is the presence of a vent between the bladder and the vagina. The size of the vent can be very small, it is necessary to use a new toothpick to see or can be large across the fingertips.

In developed countries, trauma at birth due to prolonged labor is a common cause, while in developed countries, the common cause is uterus surgery.

Common causes, namely:

  • Congenital;
  • Complications after a difficult prolonged birth: The fetal head presses the bladder septum – the vagina into the back of the pubic bone, causing is an issymemia that produces an array of items and leads to perforation of the bladder – vagina;
  • Complications in cesarean section;
  • Complications after surgery to remove uterine fibroids;
  • Bladder cancer and rectal cancer (local cancer or metalysed from elsewhere to) invade the bladder septum – rectum – vagina, causing perforation;
  • Due to the placing of radioactive needles for the treatment of cancer cells in the hip pelvic area. The radioactive rays destroy cancer cells, while puncturing the septum between the bladder, rectum and vagina.

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What are the symptoms of vaginal bladder leakage?

2. Symptoms of vaginal bladder fistula

Vaginal bladder fistula is a difficult disease to say because the symptoms of the disease make the patient quite shy when referring or going to the doctor. Symptoms depend on the size and location of the fistula.

The always-there sign of the person is urine from the bladder according to the bladder fistula – the vagina wets the patient's clothes constantly. In the beginning, sometimes the person does not notice because part of the urine will escape the normal path, partly through the fistula or mixed with post-birth production.

Vaginal bladder fistula is easily confused with urinary insularity because of the symptoms of urine leakage. However, unlike urinary ina autonomy that only leaks urine when coughing or is active, vaginal bladder leakage causes the patient to leak urine even at rest.

Patients with vaginal bladder fistula usually go to the hospital after a period of illness. At that time, their clothes often smell of urine, there may be signs of infection, redness, itching on the sides of the thighs and pussy.

3. Vaginal bladder fistula determinations

  • Symptoms of bladder-vaginal fistula usually appear after calving or after surgery for about 2-14 days. The amount of urine flowing more or less depends on the size and location of the fistula;
  • Color test: The doctor pumps a methylene blue solution into the bladder through a urethral catheter. After that, put 3 tampons in the vagina after the bladder is filled with water, if the tampon is absorbed blue, it is possible to determine there is a bladder fistula – vagina;
  • Bladder endoscopy: Assess the number, size, location of fistulas and the degree of inflammation of the bladder for the most appropriate treatment direction;
  • Photothrhrological imaging: Detection of vaginal ureteral fistula or accompanied by vaginal bladder fistula after perineal surgery.

4. Treatment of vaginal bladder fistula

In the case of small fistulas, it is possible to use the method of burning electric fistulas, combining the ation of bladder drainage so that the line leaks scars, no more urine leakage.

Other cases will require surgery. It is best for the patient to have surgery early when the bladder – vaginal parts adjacent to the fistula are still soft, not sclerosis due to prolonged inflammation. From the fistula, the surgeon will dissect the bladder organization from the vaginal organization on an area wide enough to seal the bladder fistula, which will next stitch the vaginal fistula.

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Surgery to treat vaginal bladder fistula

5. Preventive measures

  • Pregnant women need to have regular pregnancy check-up to be closely monitored for pregnancy and pre-birth pre-birth pre-birth pre-birth;
  • Pregnant women need scientific food and drink knowledge to ensure safe reproduction, labor avoids loss of strength, avoids interference with procedures that are at risk of causing bladder – rectum – vaginal leakage after birth;
  • It is recommended to give birth in reputable medical facilities, it is necessary to monitor for post-birth signs, especially for prolonged labor pregnancies;
  • Women should have regular medical examinations to promptly detect diseases such as uterine fibroids, bladder and rectal cancer so that there is an early treatment plan, avoiding complications of bladder – vaginal fistula.

Although it is difficult to say, when having a vaginal bladderleak, patients should not hide the disease but should go to the doctor soon for timely, effective treatment, avoiding adverse effects on the quality of life.

Master. physician. Nguyen Manh Thang has been highly trained and participated in many scientific seminars on renal surgery, urology, male studies in the country and internationally. The doctor has 16 years of experience in the field of renal surgery – urology – male studies. Currently a doctor at General Department of General Medicine, Share99 Hai Phong International Health Hub.

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SEE MORE:

  • Learn about vaginal rectal fistula closure techniques
  • Learn about bladder stones
  • Endoscopic surgery to remove bladder neck polyps

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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