A vesicovaginal fistula (VVF) is an abnormal opening between the bladder and the vaginal wall. It can cause continuous urine leakage, odor, and discomfort.
Causes:
1. Gynecological surgery, such as a hysterectomy or cesarean section.
2. Obstetrical injuries, such as obstructed labor, instrumental deliveries.
3. Infections, such as urinary tract infections.
4. Radiation Therapy.
5. Cancer, such as gynecological, pelvic, or cervical cancer.
6. Inflammation.
7. Sexual trauma.
8. Vaginal laser procedures.
Symptoms:
1. Urine leakage, which can be small or large.
2. Embarrassing insensate leakage.
3. Bad-smelling leakage.
Treatment:
1. A thorough diagnostic evaluation.
2. Surgical repair using interposition flaps.
Risk Factors:
1. Poor socioeconomic status.
2. Malnourishment.
3. Low literacy rate.
4. Early marriage and childbearing.
5. Inadequate obstetrical care.
6. Smoking.
Complications:
1. Continual wetness, odor, and discomfort.
2. Perineal skin irritation.
3. Social problems, isolation.
4. Psychological problems.
Prognosis:
1. A successful repair requires an accurate diagnostic evaluation and timely repair.
2. The healing process of the VVF procedure is still arduous