Urinary blader conditionss 2 fistulas

6. FISTULA

      Vesico-enteric fistulas are as a result of inflamatory disease of the colon (diverticalitis) or crohn’s disease. Carcinoma of the colon or bladder can also be responsible.

6.1 Pnematurea (passing air) occurs in 60% of cases.

6.2 Fecalurea occurs in 20-50% of cases. Diagnosis is established radiologic contrast (IVP or Ba) will be required.

7. Vesico-Vaginal Fistula

      This occurs as a result of injury sustained during prolonged unattended labour. Injury can also occur following urolgic or gynaecologic procedures, Fistula can also occur following pelvic trauma malignancy or radiation. Surgical repair should be attempted in all cases.

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