Urogenital Fistula; The Types, Diagnosis and Management | Obstetrics and Gynaecology



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Urogenital fistula are the abnormal connections between two pelvic organs . Different tests are done for diagnostic purposes like complete blood count , urinanalysis , X-ray Fistulogram. Three swabs tests are done to differentiate between vesicovaginal , urethrovaginal and uretro-vaginal fistula. In ureterovaginal fistula , patient complains of dribbling of urine but she also micturates from urethra. In vesico uterine fistula , the patient complains of cyclical hematuria. Once the fistulae are suspected the diagnostic tests mentioned above are done . Sometimes for detailed study we also go for other diagnostic modalities like Intravenous Urogram ( IVU ) , Intravenous Pyelogram (IVP ) and CT urogram etc. For its management we initially go for conservative management like prophylactic antibiotics after that surgical repairs are done including Fistulotomy in selected cases.
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