A vesicovaginal fistula is a tract or hole between the female bladder and the vagina. It allows the involuntary passage of urine from the bladder through the vagina and to the outside. Having a vesicovaginal fistula is very embarrassing and causes some health problems that need fixing. A vesicovaginal fistula is the most common type of urinary tract fistula in women. It is a disease that only affects women. If you think that your condition has worsened as a result of medical negligence, contact our vesicovaginal fistula solicitors for advice at no cost.

The main cause of a vesicovaginal fistula is childbirth. If the child doesn't fit through the birth canal very well or the pelvis is too small, there can be a necrosis of vaginal tissue and the death of the tissue erodes into the bladder, causing a hole which becomes permanent. The vesicovaginal wall, which is a single wall that connects the bladder to the vagina is very thin and can easily form a deep enough hole to open into the bladder.

A violent rape can cause a vesicovaginal fistula. It is common in countries where rape is a part of war, such as in the Republic of Congo. Doctors there are very skilled in repairing these types of fistulas as they are common war wounds. In other cases, a hysterectomy or cone biopsy can cause damage to the vaginal wall and a vesicovaginal fistula can occur.

The symptoms of a vesicovaginal fistula include the constant dripping of urine from the vagina. It can be as little as a few drops or as much as a stream. The vulva and vagina become irritated by the constant wetness and there can be redness and pain in the vaginal or vulvar area.

It is usually an injury to vaginal wall that causes a vesicovaginal fistula. A tumor, hysterectomy, radiation or anything else that reduces the blood supply to the vagina can result in a hole in the vagina. The hole can happen anywhere but if it connects to the bladder wall, a vesicovaginal fistula occurs.

Doctors can diagnose a vesicovaginal fistula using a visual examination of the vagina. An irritated hole can be found in the anterior wall of the vagina. Sterile dye or sterile milk can be inserted into the bladder via a catheter so that the dye or milk is looked for in the vaginal vault. Radio-opaque dye can be used to show the passage of dye unto the bladder via a catheter and outside the bladder into the vaginal space. X-rays of the bladder are necessary to see the passage of the dye into the vagina.

The treatment of a vesicovaginal fistula can involve simply treating the irritation and not to take care of the vesicovaginal fistula at all. In other cases, it involves the cutting out of the fistula and repairing the area involved in the fistula. The fistula is often infected with bacteria so antibiotics are used to clear up the infection before the fistula is removed. It is the reason why the fistula can't just be sealed over as infection prohibits the actual closing of the fistula. The fistula can be repaired via an abdominal or vaginal approach and a new blood supply may need to be introduced in order to make sure the surgery to repair the vesicovaginal fistula actually takes.

Sometimes a vesicovaginal fistula is treated by giving the individual a urinary catheter. This takes the pressure off the fistula so that the fistula begins to heal on its own. It takes several months of catheter use in order to have significant healing of the vesicovaginal fistula. The catheter can also be used along with surgery in order to take the added pressure of a full bladder on the repaired fistula.

Medical Negligence Solicitors

Our Vesicovaginal Fistula solicitors operate the no win no fee scheme which is totally without risk. You only pay legal charges if the case is won. There are no upfront charges to pay whatsoever. If you would like to discuss your potential compensation claim with a specialist medical negligence solicitor just complete the contact form or email our solicitors offices or use the helpline. Once you have provided sufficient information you will speak with a Vesicovaginal Fistula solicitor who will advise you on the prospects of success for your claim and an estimated amount of compensation that may be awarded. Our advice is totally without cost and there is no further obligation to use our legal services. Do yourself justice and give us a call.

HELPLINE: ☎ 1800 633 634

The author of the substantive medical writing on this website is Dr. Christine Traxler MD whose biography can be read here