Virginal Fistulas
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DEFINITION
An abnormal opening that connect the vagina to another
opening such as the bladder, colon or rectum
CAUSES
Radiation treatment
Injury
Surgery
An infection
RISK FACTORS
Chemical injuries (chemical irritation or burns)
Urine leak constantly into the vagina
Child birth
vaginal wall may be weakened from prolonged and reapetad
stretching
Sexual assault
Mucus and flatus
TYPES OF VAGINAL FISTULA
Colovaginal fistula – the opening occurs between the vagina and the colon
Urethrovaginal fistula (urethral fistula) – The opening occurs between the vagina and the urethra
Rectovaginal fistula (rectal fistula) the opening between the vagina and the rectum
Vasicovaginal fistula (bladder fistula) - an opening occurs between the vagina and urinary bladder
NURSING MANAGEMENT
Encourage the patient take regular exercise
Provide advice on proper nutritional food
Encourage good personal hygiene
Provide effective deodorants to control the odour
Refer the patient to professional counselling
Encourage or give vaginal douches to ensure cleanliness and promote comfort
Provide protect underlying clothes
SURGICAL MANAGEMENT
Perineorrhapy – Is the repair of posterior vaginal wall.
Colporrhaphy - the procedure done to repair the anterior wall
of the vagina.
REFERENCES
Garely AD, et al. Urogenital tract fistulas in women. http://www.uptodate.com/home. Accessed Jan. 25, 2017.
Cameron JL, et al. The management of rectovaginal fistula. In: Current Surgical Therapy. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Jan. 25, 2017.
Ferri FF. Vaginal fistula. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed Jan. 25, 2017.