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Bladder Fistula after Hysterectomy

From the Pelvic Floor Articles List

bladder fistula after hysterectomyI started having vaginal leakage a few days ago. The leakage is the exact color of my urine. Could it be a bladder fistula?


The first thing you should do is call your doctor's office and make an appointment to be examined. Only your doctor can tell if you have a fistula or not.

A gynecologic vaginal fistula is a hole that develops between the bladder and the vagina or the rectum and the vagina. Following a hysterectomy, the bladder fistula is not uncommon which is indicated by leaking urine through the vagina.

Some doctors determine if you have a fistula using a "tampon method." A tampon is inserted in the vagina and checked for urine or dye, if inserted prior to test. Other doctors use a pelvic exam with a speculum for diagnosis.

Seeking treatment is very important. Untreated fistulas cause hygiene issues along with an increased incidence in infection. Prolonged non-treatment carries a high risk for kidney infection and damage.

Treatment can be as simple as an insertion of a catheter to allow the tiny tear to heal over an extended period of time or as complicated as a surgery to repair a larger hole. Reconstruction treatment can fail on occasion. Be sure and find a qualified pelvic floor surgeon who specializes in fistulas if you require repair surgery.


This content was written by a member of HysterSisters.com as a non-medical professional based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

04-19-2011 - 08:19 PM


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