Bladder Fistula - Hystersisters Hysterectomy Article

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Bladder Fistula

Bladder Fistula

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Ask A Doctor

I started having vaginal leakage a few days ago. I am 2 weeks post-op total abdominal hysterectomy. The leakage is the exact color of my urine. I have read about bladder fistulas and am thinking this could be what is going on with me. I had stage 4 endometriosis and it was attached to my bladder. I have had trouble with my bladder since before leaving the hospital, but attributed it to catheter irritation. Any advice would be helpful!

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 GYN 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. In a specific time frame, the tampon is 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.

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Find A Doctor Near You

Melanie Bone, M.D. 5301 S. Congress Ave. Atlantis FL 33462 561-548-8600	Richard W Farnam, M.D. 1700 N. Oregon Suite 520 El Paso TX 79902 9155335600	Bret Lewis, M.D. 5780 Peachtree Dunwoody Rd., Ste 295 (#2 Location) 11975 Morris Rd., Ste. 310 , Alpharetta, GA 30004 Atlanta GA 30342 404-255-3633
Kimberly Newman, M.D. 10030 Edison Square Drive Suite 100A Concord NC 28027 704-403-7670	Megan Daw, M.D. Western Carolina Women's Specialty Center 2100 Ridgefield Blvd Asheville NC 28806 828-670-5665	Ken Sinervo, M.D. 1140 Hammond Dr., Ste. F6220 Atlanta GA 30328 770-913-0001
Gretchen Makai, M.D. 4735 Ogletown Stanton Rd MAP II, Ste 2103 Christiana Care Health System Newark DE 19713 302-623-4410	Terry Grogg, M.D. 4461 S Broadway Suite 200 Suite 200 Grove City OH 43123 614-875-0444	Jennifer Fuson, M.D. 1720 Nicholasville Road Suite 702 Lexington KY 40503 859-264-8811

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