A vaginal fistula is a pathological fistula (fistula, or connection) between the vagina and the urinary organs, intestines. Urogenital fistulas are manifested by the discharge of urine from the vagina: during urination - with a urethro-vaginal fistula, constantly - with a vesicovaginal fistula (the intensity depends on the size of the fistula) In any case, a urinary fistula leads to maceration (swelling) of the skin of the external genitals, perineum and thighs ... With rectovaginal fistulas, especially point fistulas, itching and burning sensation occurs in the genital area (due to irritation of the mucous membrane). The constant penetration of infection into the vagina leads to inflammation and pain in the small pelvis, and with a strong abscess - to general malaise and fever. For point fistulas, discharge from the vagina of gases is also characteristic, for large fistulas - the appearance of feces in the vagina.
The cause of rectovaginal fistulas of inflammatory genesis may be the so-called "anterior" acute purulent paraproctitis, which has opened in the vagina. Crohn's disease of the large intestine can also lead to the formation of abscesses (purulent cavities) in the tissues between the vagina and rectum, and then to the breakthrough of pus into the vagina and rectum, followed by the formation of a fistula (pathological message) between them.
Conservative treatment of rectovaginal fistulas is ineffective, the main role is given to surgical treatment. At the first stage of treatment, most patients are given a colostomy, that is, the section of the large intestine located above the fistula area is brought to the skin of the anterior abdominal wall. Thanks to this operation, the rectovaginal fistula area is "turned off" and isolated from the feces. Firstly, it relieves patients of such painful symptoms of the disease as the constant release of gas and feces from the vagina, an unpleasant odor. Secondly, it helps to stop inflammation in the fistula area. The second stage of surgical treatment is the actual operation to close the intestinal-vaginal fistula. Colostomy formation can be avoided only with small low traumatic fistulas. Usually, the operation is performed several months after the formation of the fistula. This time is necessary for the complete subsidence of inflammation in the fistula area, the formation of favorable conditions for the operation. With post-radiation fistulas, the time before surgery can be stretched up to 6 - 12 months. Fistula closure surgery can be performed using access through the abdominal cavity, vagina, or rectum. The access option depends on the location and size of the fistula and the experience of the surgeon. The meaning of the operation is to separate the vagina and rectum, and separate them together.
You can safely begin treatment, which we carry out as quickly and efficiently as possible in Tashkent. The Gatling Med clinic will make you feel confident in yourself and your health.