Virginal Fistulasvaginal-fistula-causes-symptoms-diagnosis-and-treatment-1-638

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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.