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A vesicovaginal fistula is an abnormal communication between two cavities: the bladder and the vagina. The main causes of the formation of vesicovaginal fistulas are the consequences of unintentional damage to the bladder during gynecological operations, or arising from pathological childbirth.
Vesicovaginal fistulas are among the most painful conditions that cause a woman not only physical and mental suffering, but also have a negative effect on the anatomical and functional state of the entire urinary tract. A number of gynecological operations carried out for the most common cancers of the cervix, vagina, as well as for endometriosis, may be accompanied by the formation of a vesicovaginal fistula. One of the most problematic for treatment, severe and debilitating during the course is post-radiation damage with emerging urogenital fistulas.

The main symptom characterizing the presence of the formed fistula is the constant (day and night) discharge of urine from the vagina after pelvic surgery. Often in the early postoperative period, this is preceded by an increase in discharge from the vagina, which can be either serous-bloody (like lymphorrhea), or contain a secret of the fallopian tubes.

TREATMENT

One of the most difficult issues in the treatment of vesicovaginal fistulas is the timing of the fistuloplasty. There are two approaches: early intervention and delayed surgery. The majority of gynecologists - "culprits of the unfortunate outcome" of the operation performed - advocate the fastest elimination of the formed fistula. Their arguments are understandable - they are driven by the desire to get rid of the mistake as soon as possible. Early surgery relieves patients from the possible progression of inflammatory processes, inevitable companions of operations in the small pelvis, and also prevents possible shrinkage of the bladder due to forced dysfunction. However, the main argument is still the desire to quickly get rid of this flaw, which inadvertently turned out to be a heavy burden for a woman. Most of the patients themselves strive to quickly get rid of this very tragic state. However, the "short wait" method is fraught with the danger of recurrence with all the ensuing adverse consequences. It is difficult to imagine the enormous psychological stress of the patient, faced with the need to carry out another, sometimes more complicated, operation.

During this time, a comprehensive preparation of the intervention object is carried out - ligature stones are removed, mechanical cleaning of the vaginal cavity from necrotic masses is performed, sources of necrosis and swelling of damaged tissues are eliminated. Preoperative preparation includes the replacement of estrogen in women in the climacteric period or after hysterectomy. In modern conditions, the principles of antibacterial treatment have also changed - preference is given to perioperative antibiotic prophylaxis.


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.