How do you treat vesicovaginal fistula?

The only way to fix vesicovaginal fistulas is with surgery to close off the opening. Sometimes additional procedures are needed to correct the original cause of the problem, such as damage to the bladder. Surgery to correct vesicovaginal fistulas is generally very successful.

Can tampons cause fistulas?

For the double dye test, you take a pill that turns your urine orange. In addition, the provider inserts a blue dye into your bladder. Then, you put a tampon in your vagina: If the tampon turns blue, the fistula may be between your vagina and your bladder—a vesicovaginal fistula.

How is a fistula repaired in the vagina?

A vesicovaginal fistula, an abnormal connection (fistula) between the bladder and the nearby vagina, results in continuous leakage of urine from the vagina. A vesicovaginal fistula can be repaired through the vagina or through a large abdominal incision.

How is the diagnosis of a vesicovaginal fistula made?

Diagnosis of Vesicovaginal Fistula. Diagnosis is typically made based on a patient’s medical history, symptoms, and a physical exam. Urologic tests, such as a urinalysis or urine culture, can confirm diagnosis.

How to treat a fistula in the bladder?

Vesicovaginal Fistula 1 Common Causes of Bladder Vaginal Fistula. The most common cause of this problem is gynecologic surgery. 2 Treatment. Sometimes placing a catheter in the bladder can solve the problem and allow a fistula to heal. 3 Recovery. Simple closure of fistula from the vagina is a minimally invasive way of treating small fistula.

How long does it take to heal a vesicovaginal fistula?

The urinary drainage catheter remains for approximately one week. The skin openings are closed with shower-resistant glue as a substitute for both stitches and bandages. Laparoscopic vesicovaginal fistula repair facilitates quicker recovery, less pain, and a lower complication rate as compared to the typical open-incision abdominal repair.