What is Repair of Bladder Fistula?

The bladder fistula repair is a surgical procedure which involves the repair of the bladder that has abnormal connections with other organs or this skin.

Effects of Repair of Bladder Fistula

Normally surgery is the best possible method as it may be painful but it is the most safest solution. This is because it necessitates adequate drainage of the fistula as a result of which there is no pus formation.

Candidates for Repair of Bladder Fistula

Ideal candidates for this procedure are those diagnosed with bladder fistula condition.

Your Consultation

Bladder fistula is diagnosed by the use of an excretory urogram, which is an X-ray examination of the bladder. An excretory urogram study uses a contrast dye to enhance the X-ray images. The dye is injected into the patient’s system, and its progress through the urinary tract is then recorded on a series of quickly captured images. The examination enables the radiologist to review the anatomy and the function of the bladder and urinary tract.

The Repair of Bladder Fistula Procedure

Surgery is often required to assure adequate drainage of the fistula (so that pus may escape without forming an abscess). Various surgical procedures are commonly used, most commonly fistulotomy, placement of a seton (a cord that is passed through the path of the fistula to keep it open for draining), or an endorectal flap procedure (where healthy tissue is pulled over the internal side of the fistula to keep feces or other material from reinfecting the channel). Treatments involving filling the fistula with fibrin glue or plugging it with plugs made of porcine small intestine submucosa have also been explored in recent years, with variable success.

Recovery

The success of surgery is directly related to the ability to remove the primary disease and the presence of healthy tissue with which the fistula is closed. Ideally, healthy tissue with good blood supply is brought between the bladder and the other organ. The presence of unremovable cancer or tissue exposed to radiation and having a bad blood supply make a good result more difficult to obtain. The patient can expect to have a catheter in their bladder for a few weeks postoperatively.

Risks

However simple surgery is not enough without proper medication and diagnosis. Hence simple diagnosis is not recommended. On the first look it looks effective but in the long run it is not as the fistula tends to grow back again. In almost 50% of the cases the fistula tends to grow back if the surgical treatment is done without proper medication.

FAQs

What is bladder fistula?

Bladder fistula refers to an abnormal connection between the bladder and another organ or the skin. Most commonly this involves the bowel (enterovesical fistula) or the vagina (vesicovaginal fistula).

What causes bladder fistula?

Although relatively rare, fistulization to the skin can result from an injury or previous surgery in the face of bladder outlet obstruction. Vesicovaginal fistulas are seen after a urologic or gynecological surgery or in relation to gynecological cancers. Fistulas to the bowel are most commonly seen as a result of inflammatory bowel disease such as Crohn’s disease or diverticulitis. About 20 percent of bowel fistulas are caused by bowel cancer. Fistulas are rarely caused by bladder pathology. Fistulas to both the vagina and the bowel may also develop as a result of previous radiation therapy.

What are the symptoms of bladder fistula?

Symptoms are frequent urinary tract infections or the passage of gas from the urethra during urination.

What should I do if I have bladder fistula?

Treatment of bladder fistula usually requires partial surgical removal. If it is caused by a disease such as colon cancer or inflammatory disease, surgical removal is usually done in conjunction with removal of the primary disease.