vesicovaginal fistula
An abnormal connection between the bladder and vagina, resulting in continuous urinary incontinence.
Full Definition
A vesicovaginal fistula is an abnormal communication between the bladder and vagina that results in the continuous, involuntary leakage of urine through the vagina. This condition can occur as a complication of gynecologic surgery, obstetric trauma, radiation therapy, or malignancy. The diagnosis is typically confirmed through cystoscopy, methylene blue testing, or imaging studies. Treatment usually requires surgical repair, which may be approached through vaginal, abdominal, or combined techniques depending on the size, location, and complexity of the fistula. Timing of repair is important, as inflammation must resolve before surgical intervention.
Usage
Usage note: May be abbreviated as VVF in clinical notes, but spell out in formal reports.
In Context
- "The patient developed a vesicovaginal fistula following complicated hysterectomy requiring delayed repair." — complication documentation
- "Methylene blue instillation confirmed the presence of a small vesicovaginal fistula." — diagnostic procedure note