Ms. Li (pseudonym), 50, recently encountered an embarrassing incident and always couldn't control the leakage of urine. I began to think that the body is aging, but also encountered the common urinary incontinence of elderly women, did not expect to go to the hospital to check and found that there is a "loophole" in the vagina and bladder, resulting in the urine "wiring" mistakenly misaligned, urine flowing out of the vagina. Recently, Professor Shen Yang, vice president of the Zhongda Hospital Affiliated to Southeast University and a famous obstetrics and gynecology expert, and the Department of Urology and Anesthesiology jointly operated on the patient, and finally solved her "unspeakable secret".
Ms. Li has been unable to control urination recently, and thought that menopause had another complication of urinary incontinence, and could only silently endure this unspeakable pain. But more and more feel that something is wrong, this usual urine is flowing out of the urethra, how did it become out of the vagina? Therefore, Ms. Li 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 began to appear not long after the last cervical cancer operation. Professor Shen Yang analyzed that Ms. Li's leakage of urine may not be a simple pressure urinary incontinence, after vaginal examination found that there is a fistula of less than 1 cm at the end of the vagina, there is a urine overflow, confirming that the culprit is the "bladder vaginal fistula", resulting in a hole between the vagina and the bladder, so that urine leaks out of the vagina.
The reason is found, how to crack it? A strong combination of obstetrics and gynecology and urology specialists is required. First of all, Professor Shen Yang led the team of attending physician Xu Jingyun and attending physician Shi Yuehua to perform transvaginal vesico-vaginal fistula repair for the patient, closing the fistula, multi-layer suturing, and no fluid flowing out of the vagina. Subsequently, Wu Jianping, deputy chief physician of the Department of Urology, relayed the battle, and then performed a bilateral ureteral stent replacement for the patient. After nearly 2 hours, the operation was successfully completed. After the operation, Ms. Li's unspeakable secrets have finally been eradicated, and she has now recovered and returned home.
Professor Shen Yang introduced that the causes of bladder-vaginal fistula are mainly due to obstructed labor or prolonged labor, bladder and vaginal hyper-compression injuries and lead to 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, and timely go to the hospital for examination and precise treatment after a clear diagnosis.
Correspondent Liu Min
Yangzi Evening News/Purple Cow News reporter Yang Yan
Proofread by Faye Wong
Source: Purple Cow News