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Difference Between Ureter Fistula and Vesicovag Fistula Difference Between Ureter Fistula and Vesicovag Fistula

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  #1  
Unread 08-10-2004, 12:48 PM
Question - Difference Between Ureter Fistula and Vesicovag Fistula Difference Between Ureter Fistula and Vesicovag Fistula

Please help if you can.

I am trying to understand and gain more information about the difference between a ureterovesical fistula and a vesicovaginal fistula.

I would like to know the difference between the fistula that connects the ureter and the vagina as opposed to the fistula that connects the bladder and the vagina.

What is the difference?
Difference in symptoms?
Difference in diagnostic measures?
Difference in treatment?

Thank you so much.

Blessings
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  #2  
Unread 08-12-2004, 07:03 PM
Difference Between Ureter Fistula and Vesicovag Fistula

Blessings,

I haven't heard from you lately and hope things are OK.

There are different kinds of fistulas.

A fistula can form between the ureter and vagina, the bladder and the vagina, and even the bladder and rectum. A fistula is an unnatural communication between the two body parts involved. Sort of like a tunnel or straw let's say between the bladder and vagina. Thefore, urine will flow through the straw and exit the bladder via the vagina.

I understand most of the tests are the same. However, the pyridium test and methelyne blue test will sometimes show the difference if the tests are done at the same time....The ever popular tampon test. I think if there is ureter involvement, the pyridium will show up on the tampon, and if it is a vesico vaginal fistula, the tampon will turn blue.

The repair of course would be dependent on where the fistula is.

There is a section called "Resources" you can go to and there is lots of helpful information there. Do a search on fistula and it will lead you to several very informative web sites.

Did you have the tests done to check out if you had a cyst? I truly do know your frustration, and hope you get answers soon!

Dee
  #3  
Unread 08-12-2004, 08:20 PM
Smile - Difference Between Ureter Fistula and Vesicovag Fistula Thank You

Thank you. I haven't had my ultrasound done yet, as it is tomorrow. I have had my cystogram though, that was last week, and it didn't show a fistula. It was great news except for the fact that we now have more questions than we have answers.

Tomorrow I am supposed to talk by telephone to my surgeon and see where to go from here. I wish I knew something. I have been doing a lot of reading and research. I am interested in whether or not my surgeon has considered other explanations. I am concerned that he may be blinded to other complications because of the intense focus from the beginning on my having this fistula. I am not entirely convinced. I know that yes, I am having discharge. But, I am by no means leaking a lot. Right from day one my surgeon said it was a fistula. Of course I don't know how the Pyridium test results fit into all this.

All I know is I don't want to go see another specialist or have any further test that are not absolutely necessary. This has sure thrown my family for a loop and is very upsetting as I know you can appreciate. I am scared and concerned because I don't want to be a medical mystery. I so just want to move forward in my life. If my surgeon thinks that I must go to the consult with the specialist I will go because I trust him 100%, but I feel I need to ask some questions and gain understanding first. Right now I thik that is very important, because I don't know why he is so sure of the diagnosis based only on the one Pyridium test. I want ot be sure I have to go down this road.

Thanks for caring and thinking of me.

Blessings
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  #4  
Unread 08-14-2004, 02:42 AM
Difference Between Ureter Fistula and Vesicovag Fistula

Hi Blessings,

I am not sure if there can be a fistula between the ureter and vagina, do you mean the urethra? The ureter is the tube from the kidneys to bladder, the urethra is the passage from bladder to the outside world!

I understand that it is possible to have a fistula between the urethra and the vagina and this is usually indicated by the tampon being wet on the lower part and the string. A fistula between bladder and vagina (vesicovaginal) is indicated by urine at the tip of the tampon, high up in the vagina.

I hope this helps, I know it must be so frustrating searching for answers. I would think your Dr is convinced of the fistula because you have had a positive tampon test, despite the fact that it is too small to show up on the cystogram. There shouldn't be any urine in the vagina so I guess only 1 positive test is all it takes to know there is a connection!

Best wishes,
Blossom
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