18 September, 2021

Vaginal Fistulas

What is a fistula?

A fistula is an abnormal connection or channel or passage way connecting one internal organ to the other or to outside of the body.

Where all can fistula form?

Fistulas can form between anal passage and skin (back passage to surface of skin) called perinatal fistula.

  • Bladder to bowel called enterovesical or colovesical fistula 
  • Bowel to vagina – recto education or enterovesical fistula 
  • Bowel to skin – enterocutaneous fistula 
  • Bowel to bowel – enteroenteric or enterocolic fistula
  • Bladder to vagina – vesicovaginal fistula 

What is vesico-vagina fistula?

Vesico-vaginal fistula is an abnormal connection between the bladder and vagina. When you have this fistula urine will constantly leak from vagina as vagina is not drained to hold urine like bladder.

What are the symptoms of fistula

Vaginal fistulas does not cause pain but it can cause some problems that will need medical care for example if there is vesico vaginal fistula- due to constant leak of Irvine genital area may get infected or sore. You can even experience pain during sexual intercourse. Sometimes fever, pain in the tummy, loose motions, weight loss, nausea and vomiting can happen. Most of the time quality of life is affected due to embarrassment of leaking that can lead to lot of psychological problems 

What are the reasons & why some women develop fistula?

Most often child birth is the reason especially if very prolonged labour and difficult delivery. Other reasons or causes include abdominal surgeries like caesarean or hysterectomies.

  • Cancers- cervical or colon cancers 
  • Radiation treatment 
  • Bowel disease like crowns or diverticulitis 
  • Infections after episiotomy or deep perineal tears at child birth
  • Traumatic injury like after a road traffic accident 

How do I know if I have a fistula?

If you have any of the above said symptoms your doctor will do internal examination and can also perform some tests.

Due test where your bladder will be filled with a floured s ok union and a tampon is placed in the vagina. If you have a fistula dye will leak into the vagina and tampon will be coloured. 

Sometimes X- rays, camera tests like cystoscope or sigmoidoscope, CT scan of MRI will be used to diagnose fistulas. 

What treatments are available for fistulas?

Some fistulas may heal on their own especially if it is very small. 

A small tube or catheter is passed into your bladder so that urine is drained constantly allowing fistula to heal.

Sometimes special hours or plugs can be used to seal or fill the fistula. 

Antibiotics might be used to treat infect caused by fistula. 

Many people might need surgery. The type of surgery depends on the type of fistula, where it is located and the size of the fistula. 

It could be done laparoscopic (key hole) or Abdominal (through a cut in your tummy) or through vagina. Special patches can be seen over the fistula of tissues from another place be used to close the fistula especially if fistula is between back passage and vagina. 

What will happen if I don’t get treated for fistulas?

  • Vaginal or urinary tract infections can keep coming back 
  • Hygiene problems 
  • Stool or gas can leak through vagina and anus
  • Pus can collect called access 

Fistulas can sometimes comeback despite treatment. Women who have crowns disease are especially at high risk of this recurrence.


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27 December, 2022

Tips for dealing with postpartum vaginal discharge

Lochia, or the vaginal discharge that a woman’s body produces following childbirth, is expected to last for a few days to weeks after delivery. After birth, the rapid flow of blood and mucus begins. For the first 2-3 days after birth, the bleeding will be severe and contain blood clots. However, after a few days, the flow will gradually decrease to spotting before stopping entirely. When the uterus recovers after a few weeks, the flow colour can change from dark red to brown, then yellowish-white. It’s an unavoidable and inevitable occurrence, and the only thing you can do is wait for it to end. It continues to decrease in volume before entirely ending. Here are a few essential tips to keep you prepared for this postpartum vaginal discharge.  Pile up with sanitary napkins and replace them regularly. You’ll need big pads with a lot of absorption potential in the first few days. Maintaining strict sanitation and keeping your private parts washed will help you prevent more postpartum infections. To keep away the infections, avoid having tampons or menstrual cups. Empty the bladder regularly, even if you don’t have the urge. This will relieve you.  Medications that thin the blood, such as aspirin and ibuprofen, should
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17 November, 2022

Taking care of mental wellbeing during pregnancy

Pregnancy often is a happy and joyous phase to treasure and cherish. It brings a mix of feelings for you, and not all of them are good. Few thoughts might even trigger the mental health that might disturb you so much during and after the pregnancy. It’s just as important to look at your mental wellbeing and health during pregnancy as your physical health.  For your safe and happy pregnancy, a happy lifestyle is crucial. However, it is good to notice your mood drifts to identify the problems in the early stages.  What can you usually experience?  While mood swings are common during pregnancy, continuous and long down moments are not good. Take a look at the durations you are down.  Feeling fear or anxiety all the time about your baby or pregnancy.  Having negative thoughts about your life, pregnancy and relation  Feeling burdened with unknown pressure in your mind can relate to the stress of pregnancy but requires attention.  Common mental problems experienced during pregnancy  Depression during Pregnancy “During pregnancy, the symptoms of depression such as changes in sleep, appetite, and energy levels are often difficult to distinguish from the regular experiences of pregnancy.“ says Diana Carter, MBBS Xanthoula Kostaras, BSc. In her recent publication, she mentioned that up to 70% of women report
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20 November, 2021

5 easy ways to reduce stress during pregnancy

No matter how happy you are about your pregnancy, stress during the pregnancy phase is unavoidable. Most of the time, it is because of the hormones that play around. But there are a lot of other factors that account to stress. Managing stress during pregnancy is an efficient way to enjoy your pregnancy period.  Knowing the changes and accepting them happening to your body will help you best during this phase. However, know more efficient ways to reduce stress during pregnancy.  Here are the 5 easy ways to reduce stress during pregnancy.  Eat well and sleep well must be a routine  Nothing can replace the best benefits of proper food and sound sleep. Ensure that you follow a balanced diet with all the necessary supplements that your body needs and take enough rest. A night of proper sleep will make your day brighter and keep you comparatively in a cheerful mood. Rest when you are tired. Do not overdo during pregnancy. A perfect routine for food and sleep will ease up your hormones.  Surround yourself with positive energy. Talk to your friends and family. Pregnancy can put you through a lot of thoughts. It will make you think about the least possible negativity. Well, these are the instincts of the mother to safeguard her child. So
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