Title: Vesicovaginal fistula.

POPLINE Document Number: 276692

Author(s):

Riley VJ
Spurlock J

Source citation:

Omaha, Nebraska, eMedicine, 2004 Mar 5. [21] p.

Abstract:

Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF). VVF is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient’s emotional well-being. This article reviews the etiology of VVF, the surgical principles of repair, and the techniques developed for their repair. The earliest evidence of a VVF was found in 1923, when Derry examined the mummified body of Queen Henhenit (2050 BC). These dissections revealed a large VVF in a markedly contracted pelvis. The first clear documented reference to genital fistula was reported in the Ebers papyrus in approximately 2000 BC. However, not until 950 AD did Avicenna correlate the combination of pregnancy at a young age and difficult labor with the formation of a vesicovaginal communication. The term fistula (previously called ruptura) was not used until 1597, when Luiz de Mercado first coined the term. (excerpt)

Keywords:

United States
Teaching Materials
Physicians
Women
Vesicovaginal Fistula
Surgery
Developed Countries
North America
Americas
Health Personnel
Delivery of Health Care
Health
Demographic Factors
Population
Urogenital Effects
Urogenital System
Physiology
Biology
Treatment