Background: An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy. The psychologic distress is profound. Surgery may not be an option, making symptom control the priority.
Instrument: We report the use of a reusable menstrual silicone vaginal cup placed to divert and contain drainage.
Experience: The menstrual cup provided significant symptom relief. Drainage is immediately diverted from tissue, unlike with tampon or pad use, which involves longer contact periods with caustic fluids. A system was created by adapting the end of the cup by adding silastic tubing and an external leg bag to provide long-term drainage control.
Conclusion: Improvement in quality of life is of primary importance when dealing with fistula drainage. This simple and inexpensive device should be considered in those cases in which the drainage can be diverted as a viable option, especially in those who are symptomatic and awaiting surgical repair or in those for whom surgery cannot be performed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/AOG.0000000000001745 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Salpingovesical fistula mimicking an enterovaginal fistula.
Radiol Case Rep
September 2020
Albert Einstein College of Medicine/Jacobi Medical Center Department of Radiology, 1400 South Pelham Parkway, Building 1, Room 4N15, Bronx NY 10461, USA.
Article Synopsis
- A 34-year-old woman developed continuous urinary incontinence after undergoing a hysterectomy, prompting further investigation.
- A cystogram initially indicated a vesicovaginal fistula and a potential intestinal connection, but additional imaging confirmed the diagnosis of a fallopian tube prolapse with salpingovesicovaginal fistula instead.
- This case underscores the need for various imaging techniques to effectively identify and understand complex gynecological fistulas, highlighting that salpingovesical fistula, although rare, should be considered in similar clinical scenarios.
Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup.
Obstet Gynecol
December 2016
Departments of Surgery and Bioengineering, School of Medicine, University of Utah, Salt Lake City, Utah.
Background: An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy.
View Article and Find Full Text PDF[Uro- and enterovaginal fistulas].
Tidsskr Nor Laegeforen
February 2007
Kvinneklinikken, Haukeland Universitetssjukehus, 5021 Bergen.
Background: Gynecological fistulas that cause faecal or urinary incontinence, represent a considerable global health problem that usually reflects inadequate help at birth. The problem has a different profile in the more industrialised countries. The aim of the present study was to characterise gynaecological fistulas in a Norwegian setting.
View Article and Find Full Text PDFChemoradiation for primary invasive squamous carcinoma of the vagina.
Int J Gynecol Cancer
May 2004
University of California at Davis, Medical Center, Division of Gynecologic Oncology, Sacramento, CA 95817, USA.
Objective: To report outcomes for patients with primary, invasive, squamous carcinoma of the vagina treated with chemoradiation.
Methods: Between 1986 and 1996, 14 patients were treated with primary therapy consisting of synchronous radiation and chemotherapy. Patients were judged not to be surgical candidates based on tumor size, location, and concerns related to urinary, bowel, or sexual function.
Pelvic fistulas complicating pelvic surgery or diseases: spectrum of imaging findings.
Korean J Radiol
March 2002
Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Seoul, Korea.
Article Synopsis
- Pelvic fistulas can develop due to complications from childbirth, diseases like inflammatory bowel disease, cancer treatments, surgeries, or trauma, leading to distressing symptoms.
- These fistulas often occur in the pelvic cavity and can take various forms, including vesicovaginal and enterovaginal types.
- The article aims to showcase the different imaging characteristics associated with pelvic fistulas for better understanding and diagnosis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!