CARE ASSISTANT
SLVaginal & Rectovaginal Fistulas
An abnormal connection between pelvic organs.
A fistula is a passage linking the vagina to the bladder (vesicovaginal) or to the rectum (rectovaginal). It most often follows a very difficult childbirth, pelvic surgery or radiotherapy.
It causes continuous leakage of urine or stool through the vagina, which is very hard to live with. Surgical repair by a specialised team resolves it.
More Informations
An abnormal connection between two organs, repaired by surgery.
Definition
A fistula is an abnormal passage between two organs. Between bladder and vagina, it causes continuous urine leakage; between rectum and vagina, stool or gas passing through the vagina.
Causes
A long, difficult childbirth without access to care, pelvic radiotherapy, severe Crohn's disease or a surgical complication.
Diagnosis
- Clinical examination and dye test to locate the passage.
- Cystoscopy, MRI or fistulography to map its course.
Treatments
Surgical repair by a specialised team is the reference treatment; it sometimes uses a tissue flap to close the passage. Before the operation, a catheter and suitable protection help preserve the skin and comfort.
A urinary fistula causes continuous leakage until it is repaired. A high-absorbency brief with tabs (Combi Maxi or Ultra), changed several times a day, and a Mati underpad at night help keep the skin healthy while waiting for surgery.
Educational content written for families and caregivers. It does not replace a consultation: a doctor, a continence nurse or a physiotherapist makes the diagnosis and chooses the treatment.