Modern Express News (correspondent Liu Min reporter An Ying) Recently, 50-year-old Ms. Li (pseudonym) encountered embarrassing things, always unable to control the leakage of urine, at first she thought it was caused by menopause. Finally, in the Affiliated Zhongda Hospital of Southeast University, it was found that there was a "loophole" in her vagina and bladder, resulting in the misalignment of the urine "wiring", the urine flowed out of the vagina, after multidisciplinary combination, the operation was very successful, and Ms. Li also returned to normal life.
"I thought it was menopause, so I urinated incontinence." Ms. Li has been silently enduring this unspeakable pain. But more and more she felt that something was wrong, and she found that urine was drained from her vagina. Therefore, she found Professor Shen Yang, vice president of the Zhongda Hospital affiliated to Southeast University and a famous obstetrics and gynecology expert, to find out what was wrong.
After consultation, it was learned that Ms. Li's embarrassing problem appeared not long after the last cervical cancer surgery. Shen Yang analyzed that Ms. Li's leakage of urine may not be a simple pressure urinary incontinence, after vaginal examination found that the vaginal stump has a fistula of less than 1 cm, there is a urine overflow, confirming that the culprit is the "bladder vaginal fistula", resulting in a hole between the vagina and the bladder, resulting in urine leaking from the vagina.
The reason is found, how to crack it? Obstetrics and gynecology and urology specialists are strongly combined. Attending physician Xu Jingyun and attending physician Shi Yuehua performed transvaginal bladder-vaginal fistula repair for patients, closing the fistula and suturing in multiple layers, and there was no fluid flowing out of the vagina. Subsequently, Wu Jianping, deputy chief physician of the Department of Urology, relayed the battle and performed a bilateral ureteral stent replacement operation for the patient.
After nearly 2 hours, the operation was successfully completed. Ms. Li's unspeakable secret has finally been solved, and at present, she has recovered and returned home from the hospital.
How does a vesico-vaginal fistula form? Shen Yang introduced that it is mainly due to obstructed labor or prolonged labor, excessive compression of the bladder and vagina, resulting in bladder-vaginal fistula; gynecological, urinary or other pelvic surgery injuries; radiation damage, mostly seen after radiation therapy for gynecological malignant tumors; advanced malignant tumors such as cervical cancer, vaginal cancer and bladder tumors, etc., congenital causes are relatively rare. The main clinical symptom is involuntary vaginal leakage of urine, which varies in time and amount depending on the cause of injury, the size of the fistula, the location and the patient's position, and the diagnosis can be confirmed by vaginal examination.
Experts remind that when a woman has vaginal involuntary leakage of urine, it must be paid attention to, timely to the hospital for examination, and accurate treatment after clear diagnosis.