Fistula of the bladder: symptoms, treatment, folk remedies
This unpleasant disease, as fistula of the bladder with early diagnosis amenable to conservative treatment. If it proves to be ineffective, doctors use a surgical method of excision of the fistula. From the factors in the emergence and characteristics of this disease, the doctor will prescribe the necessary treatment.
Fistula of the bladder is the emergence of a kind of channels that pass through the bladder and surrounding the internal organs, sometimes come to the surface of the skin. Pathology provokes the leakage of urine and urinary tract infection. The cause of education in the most frequent cases is festering. After some time the abscess opens a hole in the body. Such pathologies are not due to regular fluid.
Fistula is called a channel through which the outflow of pus or other liquid contents of the localization of the site of Gnote on the surface of the skin, or in the worst case, inside the hollow body.
In medicine, a fistula on the bladder is also called fistula. The appearance of pathology are accompanied by strong odors and skin irritation. If untreated, the development of the fistula on the bladder may cause obstruction in a normal healthy way of life. Abnormal channels between the bladder and the surrounding hollow organs or the body surface needs to be treated immediately, delay leads to complications.
Types of fistulas
Divided into 2 types, depending on the time of their occurrence:
Appear innate during the antenatal period, their nature and lack of overgrowth of the primary urinary duct. A fistula — an abnormal deviation in development of the embryo. Congenital according to the place of education divide into 2 types — vesico-umbilical and vesico-intestinal. Acquired are more common and are divided into a greater number of species than innate. The female species name acquired fistula comes from the body, which was formed by pathological stroke:
- vesico-cervical, and others.
In rare cases women have formed combined — urethro-vesico-vaginal, urinary and intestinal, ureteral-vesico-vaginal. In women occur due to the damage of organs as a complication after surgical intervention in an unprofessional abortion, complications during childbirth, traumatic situations. There is a classification of fistulas by location:
- salpingo-vesiculae, and others.
Also there are such kind, as artificial (external). They appear as the result of unprofessional surgical intervention in the treatment cecostomy, hypertrophy, prostate, of nephrostomy tube. While there is a risk of stagnation of urine in the channel that causes inflammation. Interior view of the fistula differs from external in that its course is connected with the hollow bodies. Urine leaks from the bladder into the body and accumulate in it, causing pathological processes in the form of inflammations and abscesses.
The reasons for the formation
Fistulas of the bladder caused by injuries, in damage of organs and tissues during surgery, as a consequence unprofessional after surgical intervention. Congenital anomaly intrauterine development, e.g. bad the overgrowth of the openings of the urinary passages and channels during the formation of the fetus, provoke the formation of fistulas congenital type.
In General, among the causes of acquired fistulas can be identified:
Vesico-genital is found in more than 50% of cases. They arise as a result of a difficult birth and unfortunate interruptions of pregnancies. Inflammation creates breakthrough bladder, there is an abscess of the prostate formed pus formation in the pelvic region. All this may lead to serious complications.
Symptoms upon fistula bladder
Symptoms of different origin fistulas are practically the same. Vesico-vaginal begins to signal their emergence 10-14 days after surgery or childbirth. From the vagina begins to ooze urine in varying amount. These fistulas are usually large in size so using them is leaking all of the contents of the bladder. Disturbed the stability of menstruation, it can cause cystitis and colitis.
Combined fistulae cause symptoms of intoxication, ache pelvic organs. A breakthrough in the intestine provokes the dilution of feces and flatulence.
After the removal of the organs or in malignant cancer lesions of uterine tissue appears ureteral-vaginal fistula. In this case, urination is normal, but at the same time, the urine leaks constantly. A fistula of this type can cause inflammation of the kidneys due to the violation of the outflow of urine. As a consequence, there is pain from the affected side. Symptoms of infection are mild or nonexistent.
If the fistula has been created by artificial intervention, the pain symptoms do not exist, but the healthy functioning of the kidneys is disturbed. Fistula vesico-uterine form is very rare. Them become damage to the bladder during cesarean section. The main manifestations will be seepage from the vagina urine blood, absence of menstruation.
Possible complications and consequences
The lack of treatment or delayed treatment to the doctor may lead to complications such as inflammation and abscesses. Cystitis, obesity — related pathology. Develops renal inflammation due to disturbed flow of urine. The stagnation of urine in the channels in the outer fistula causes suppuration in the tissues. Disturbed menstrual cycle or there is a complete lack of it. In contact with urine to the organs of inflammation, in the worst cases, start suppurative processes. Self-medication often leads to negative results, so people use means preferably under the supervision of a physician.
What are the diagnostic methods?
The diagnosis determined by the doctor-urologist. The diagnostic method is chosen by the doctor depending on the type of pathology and its location and primary characteristics. The exterior is characterized by channels that pass through the bladder on the skin surface and, through these channels flows the urine. Internal suspect is much more complicated. Included in diagnostic methods such as examination of the patient, conducting urine tests, magnetic resonance imaging, biopsy tissues or the bladder.
Compulsory ultrasound, which allows to detect pathological channels and to exclude cancer.
A confirmation of the diagnosis is carried out by holding cystography and vaginography. Cystography is the introduction of a special solution into the bladder, vaginography — input of substances into the uterus. By x-ray of the pelvis determines the shape of the fistula, its size and other external characteristics and select the optimal method of treatment.
Treatment and rehabilitation period
Traditional treatment involves surgically stitching. With a small diameter it is removed with electrocautery, which is carried out in the area of the epithelium. In the bubble introduced a special catheter in the form of a cylinder of 10-14 days. Depending on the size of the gap is sometimes necessary to use artificial materials and other fabrics. In most cases, this is done using fat or small intestine or part of the omentum.
A small fistula of the bladder may be cured using ordinary hunter. You need to take 3 tablespoons of chopped mixture pour 200 grams of water and boil for 5 minutes. On the place the fistula is applied a mixture of boiled St. John’s wort on the cellophane. This procedure should be applied continuously until the affected place will not go away pus. Then you need to repeat the procedure several times for prevention.
To get rid of the fistula, use the leaves of aloe, which perekinut to a pulp, insist on honey (10 leaves per 1 liter of honey) for 5-7 days. This mixture should take 1 teaspoon a day 3 times. During the course of the fistula is washed with a weak solution furatsilina or apply ointment: fat, toadflax blossoms, oak bark, Highlander pepper crushed in a ratio of 2 parts fat to 1 part herbal. The ingredients are placed in a dish and put it in the oven for 9 hours.
The resulting ointment should be applied with a cotton swab into the fistula. The poultice is changed every 12 hours. Inflammation can herbal extracts of calendula, hawthorn, smartweed. It should be remembered that independent treatment of folk remedies requires a responsible approach. The ineffectiveness of the means used need to seek help from a doctor.
Rehabilitation after surgery
During rehabilitation after surgery is strictly prohibited physical activity. Regular hygiene and care of the sexual organs eliminates the occurrence of relapse. For a short period of time (several weeks) during surgery in the bladder introduce a catheter to avoid re-rupture because of the pressure of urine on the walls. Replacement of urethral catheter, treatment with antiseptics the bladder cavity and minimize the infectious symptoms.
To avoid the appearance of the disease, preventive measures are mainly expected to come from the doctors who conduct the surgery. The attentiveness and professionalism at childbirth, special attention should be given to women with a narrow pelvic passage. And laparoscopic abdominal surgery should be at higher level of security. Special attention should be given to the study of injuries of the abdomen and the urinary organs for the timely diagnosis of the fistula.
In almost all cases, the prognosis is favorable. Recovery occurs in 95% of cases. Pathology not be a complete cure if it is impossible surgery due to diseases of the abdominal organs. Full performance over time is restored. In the early days of the recovery period limitation in physical activity eliminates the poor health and eliminates recurrence.