Performing a vaginal fistula

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Mayo Clinic doctors trained in female reproductive systems gynecologists and urogynecologists , urinary systems urologists and intestinal systems colorectal surgeons treat vaginal fistulas. Having all this expertise in a single place, focused on you, means that you're not just getting one opinion — your care is discussed among the team, your test results are available quickly, appointments are scheduled in coordination and the most highly specialized experts in the world are all working together for you. With state-of-the-art research and laboratory facilities, Mayo Clinic doctors use advanced technology and sophisticated imaging tests to accurately diagnose vaginal fistula. Doctors at Mayo Clinic also help train new surgeons to do pelvic reconstructive surgery for women.
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Vaginal Fistula

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Rectovaginal fistula - Diagnosis and treatment - Mayo Clinic

A fistula is an abnormal connection via a tunnel-like hole between two organs or vessels. Fistulas can occur in various parts of the body. In women, fistulas involving the genital and urinary tracts are the most common and happen due to prolonged or obstructed childbirth, injury during pelvic surgery, infection, inflammation, or radiation treatment in the pelvis or genital area. The most common fistulae in women is one that occurs between the bladder and vagina known as a vesicovaginal fistula and one that occurs between the rectum and vagina known as a rectovaginal fistula. A vesicovaginal fistula is usually associated with urinary incontinence, or leakage of urine into the vagina which can be quite severe. A rectovaginal fistula can lead to fecal incontinence or leakage of feces into the vagina. The most common cause of a connection between the vagina and the bladder in the United States is injury to the bladder during pelvic surgery, particularly hysterectomy.
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Vesicovaginal Fistula: Diagnosis and Management

Vesicovaginal fistula VVF is still a major cause for concern in many developing countries. It represents a significant morbidity in female urology. Continual wetness, odor, and discomfort cause serious social problems. The diagnosis of the condition has traditionally been based on clinical methods and dye testing.
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Vesicovaginal fistula, or VVF, is an abnormal fistulous tract extending between the bladder vesica and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequela from these fistulas, they often have a profound effect on the patient's emotional well-being. It is often caused by childbirth in which case it is known as an obstetric fistula , when a prolonged labor presses the unborn child tightly against the pelvis, cutting off blood flow to the vesicovaginal wall.
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