Generally a fistula is an unusual connection in between two organs that usually do not connect to each other. Urethra-vaginal fistula may present with a minute pinpoint lesion manifested by vaginal voiding, or as extensive urethra damage along with total urinary incontinence. Fistula link between the urethra and vagina, this may results in drain of urine from the urethra into the vagina and may results in leakage of urine from the vagina when person stands up after the urination or splaying of the urinary stream.
A urethra-vaginal fistula is an abnormal passageway in between female vagina and urethra. Urethra-vaginal fistulas (UVF) are usually observed after vaginal surgeries, incontinence surgery trauma prolonged labor or obstetric interventions and urethral diverticulectomy. Avoidance of urethra-vaginal fistula may be achieved by both improvements in obstetric care and adequate training in vaginal surgery.
Proximal fistulas are present with urinary incontinence. Distal fistula may causes splayed the urinary stream with urine that was entering to the vagina and irritative voiding.
Other causes may include like trauma (long-term catheterization, pelvic fractures), tumors or the complications of cancer treatment like surgery and radiation.
To diagnose the urethra-vaginal fistula some test need to be performed like pelvic examination, voiding cystourethrography, cystoscopy
Urethro-vaginal fistulae are different entity that may require special attention and treatment. Because of the wide variety and individuality of the clinical manifestations of these injuries, it is almost impossible to find and create main guidelines for the treatment.