Fistulae Flashcards
1
Q
What are fistulae?
A
Abnormal connections between the urinary tract and other organs
2
Q
What are the most common types of fistulae?
A
Vesicovaginal and urethrovaginal fistulae
3
Q
How common are fistulae in the developing world?
A
Common
4
Q
Causes of fistulae in the developing world?
A
Obstructed labour
5
Q
How common are fistulae in the west?
A
Rare
6
Q
Causes of fistulae in the west?
A
Surgery, radiotherapy or malignancy
7
Q
Ix for fistulae?
A
CT urogram
Cystoscopy
8
Q
Can fistulae resolve spontaneously?
A
Yes
9
Q
Usual Tx for fistulae?
A
Surgery
10
Q
What does Tx for fistulae depend on?
A
The site and the cause
11
Q
Tx of fistulae?
A
- Catheter to drain urine and allow bladder fistula to heal on its own
- Plug the fistula with glue
- Sew a patch over the fistula
- Take tissue from your body to close the fistula
- Fold a flap of healthy tissue over the fistula
- Abx to treat infection
