Genitourinary Fistula Repair

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Treating a genitourinary fistula is necessary for a fully functioning excretory system.

A genitourinary fistula is a connection between any of the reproductive organs with the excretory organs. Normally, these organs all have separate openings. But if a genitourinary fistula, which is a hole or a tear, develops in any of them in the wrong place, the reproductive and excretory organs can become improperly connected.

  • This is problematic because it can cause serious health issues from the ensuing bacterial infections that end up developing.
  • That is why it is crucial to understand the following causes, symptoms, and treatment options that are available.

Causes

Women are more commonly affected
Childbirth complications are a major cause
Tissue damage may also occur from disease
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Women have the highest rate of developing this condition since the main cause of a genitourinary fistula is an improperly done cesarean section to deliver an infant from a woman’s womb. But it can also happen when a woman goes through a traumatic natural delivery of a child wherein specialized metal instruments were used to pull the child out through the vaginal canal. The instruments sometimes have sharp edges that can do serious damage during the process. Occasionally, this condition can be caused by cancer that has led to the atrophy of the thin tissue of the walls of the reproductive or excretory organs.

Symptoms

Early symptoms may appear mild before infection or irritation develops. Symptoms may gradually become more noticeable as the condition worsens.
1
Increased fluid leaking from the vagina may be the first noticeable symptom.
2
Pain, irritation, and swelling may occur as infection develops.
3
Urine may leak through the vagina instead of the urethra.
4
Complete incontinence may occur if the fistula is large enough. This typically occurs when the bladder, urinary tract, or ureteral tubes contain the fistula.
5
If a hole connects the colon to the vagina, stool may pass through the vagina.
Why Treatment Is Necessary

Serious health issues can develop when reproductive and excretory organs become improperly connected.

Urine leakage can increase infection risk
Bacterial infections may develop
Tissue irritation and swelling may occur
Ongoing leakage can worsen symptoms

Treatment Options

Surgery may be required
Antibiotics may treat infection
Tubes may close small openings
Tissue may heal naturally

Treating a genitourinary fistula usually involves surgery through the vagina or the abdomen so the fistula can be closed. If an infection is present, then a course of antibiotics is issued beforehand. Sometimes doctors prescribe antibiotics even when no infection symptoms are present because the surgery involves a delicate area with naturally high levels of bacteria.

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Additional Treatment Methods
1
Catheter-Based Treatment
Small fistulas might be treated in a different way. Doctors can insert a special tube to close off the opening of the hole.
2
Tissue Healing
The tube allows the surrounding tissue to heal naturally while preventing urine from entering reproductive organs.
3
Device Removal
Once the tissue has healed successfully, the tube can be removed.