Vesicovaginal Fistula Treatment In Lahore, Symptoms And Causes
A vesicovaginal fistula is an uncommon abnormal condition between the urinary bladder and the vagina in female patients that comes with stool dropping out eagerly through the vagina known as urinary incontinence. It usually happens to the developing nations because of intense work routine. Effective administration of the vesicovaginal fistula requires a quick and precise analysis and promising vesicovaginal fistula treatment as it makes eliminating outcomes and unaffected incompetence of the patient. It postures, physical as well as mental issues for the ladies in that fatty patients are generally looked down on or might be even relinquished by their partner and society because of the scent and disgrace of pee spillage. For the individuals who as of now have this condition, comprehension, care and support of the partner is required to keep the female from going into misery and reestablishing her to normal health.
Causes Of Vesicovaginal Fistula -Vesicovaginal Fistula Treatment
The vesicovaginal fistula usually occurs in underdeveloped countries which lack good obstetric care and vesicovaginal fistula treatment. Most cases of vesicovaginal fistula occur following childbirth. Causes of vesicovaginal fistula include the following:
- Traumatic cause
- Obstructed labor
- Instrumental delivery
- Infective cause
Heavy work is the main source of vesicovaginal fistula around the world. Delayed work happens when the uterus contracts typically as labor, however, the child does not go through the birth canal. It could happen in conditions like a healthy infant, an unusual position child or a little maternal pelvis or birth canal. Exceptionally young moms are physically juvenile to have babies, and regularly experience the ill effects of blocked work. The embryo may press against the maternal bones of the pelvis, along these lines packing the tissues of the primary vaginal lining and the bladder. Thus, these tissues don’t get enough blood supply and swamp off, bringing about a fistula.
Traum in the pelvic region may damage the bladder tissues and the vaginal area that results in a vesicovaginal fistula that needs special attention or vesicovaginal fistula treatment. Such trauma could be due to:
- Instrumental delivery
- C-section delivery
- Abdominal operations
- Operations on the urinary tract
- Lower gastrointestinal tract
- Use of a stick for criminal abortion
- A fall on a pointed object
Forced tumor of cervix, vagina, or bladder may develop a vesicovaginal fistula by spreading to the surrounding organs. Furthermore, radiation utilized for the vesicovaginal fistula treatment of tumor cervix may bring about the improvement of a fistula. Nevertheless, it is a rule requires a long time (1-2 years) to grow such a sort of fistula.
Diagnosis Of Vesicovaginal Fistula – Vesicovaginal Fistula Treatment
The diagnosis of the condition is very easy by following the test procedure. The condition of the patient and the local examination is required. Tests may be required in cases where the condition is not clear.
- Physical examination
- Dye test-A
- Other investigations (intravenous urography, retrograde ureterogram, hysterosalpingography, cystography)
Vesicovaginal Fistula Treatment:
Conventional management for small fistulas:
- Indwelling catheter
- Definitive management
- Fistulas under 0.5 cms can be managed
- Electrocoagulation of the fistula tract
- Preoperative management