Fistulas in urology: causes and treatment/Urologiyada fistulalar (oqmalar): Sabablari va davolash usullari

Urogenital fistula is a pathological communication between the organs of the urinary and reproductive systems. If the fistula opening opens outward and urine is released from it, then the fistula is called external; if not, it is called internal.

Patients with this disease often come to see a urologist.

Depending on which organs the fistula opening is formed between, internal fistulas are divided into:

• vesical fistulas: vesicovaginal, vesicouterine;

• ureteral fistulas: uretero-vaginal, uretero-uterine;

• urethro-vaginal;

• urethro-vesicovaginal;

• complex genitourinary fistulas.

Vesicovaginal fistulas are the most common of all possible fistulas of the genitourinary system.

Why does this happen

Typically, vesical fistulas occur after obstetric and gynecological operations, such as hysterectomy, cesarean section, or during complicated childbirth due to trauma to the urinary organs. This situation can arise during childbirth with a large fetus, rough management of labor, or the application of obstetric forceps. Separately, fistulas that appeared after radiation therapy sessions should be highlighted - they are extremely difficult to treat due to a decrease in the ability of irradiated tissue to recover.

How does it manifest itself?

The main complaints that bring a woman discomfort, reduce her daily activity, and in some cases lead to loss of ability to work and cessation of sexual activity are urine discharge from the vagina, frequent and painful urination, abdominal pain, and increased body temperature.

Diagnostics

Identifying a vesicovaginal fistula is usually not difficult. To do this, it is necessary to conduct a vaginal examination, examination of the vagina using speculum, cystoscopy (examination of the bladder cavity using endoscopic technology) or an X-ray examination (colpography, cystography, computed tomography).

Treatment

Treatment of fistulas is surgical. It involves separate suturing of the defect in the connected organs. For example, if we talk about vesicovaginal fistulas, the defect in the bladder is first sutured, then in the vagina. A positive effect is usually achieved after the first operation in 95% of cases in the absence of inflammation and good blood supply to the tissues.

For questions, you can contact us by phone +998 55 055 10 03, +998 55 055 10 03 and at the address Tashkent, Uchtepa district, 12th quarter, st. M. Shaikhzoda.

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Urologiyada fistulalar (oqmalar): Sabablari va davolash usullari

Urogenital fistula-siydik va reproduktiv tizimlarning organlari o'rtasida patologik holat.

Agar fistula tashqarida ochilsa va undan siydik chiqishi kuzatilsa, tashqi fistula deb ataladi.

Urolog qabuliga ko'pincha bu kasallik bilan og'rigan bemorlar keladi.

Qaysi organlar o'rtasida oqma paydo bo'lishiga qarab, ichki oqmalar bo'linadi:

* qovuq fistulalari: qovuq-vaginal, qovuq – nay?;

* Nay fistulalari: nay - vaginal, nay-uterin;

* urethra-vaginal;

* Nay-qovuq-vaginal;

*murakkab urogenital fistulalar.

Qovuq-vaginal oqmalar eng ko'p uchraydi.

Nima uchun bunday bo'ladi?

Odatda urogenital fistulalar siydik organlarining travması tufayli, akusherlik va ginekologik operatsiyalardan,masalan bachadon olib tashlash operatsiyasidan keyin sodir bo'ladi. Bu holat tug'ruq paytida katta xomilalik, tugruq jarayoninig qo'pol boshqaruluvi, akusherlik pensetlar bilan sodir bo'lishi mumkin. Alohida - takidlash joizki radiatsiya nur terapiyasidan keyin paydo boladigan fistulalarning davolash jarayoni juda qiyin - chunki nurlangan to'qimalar tiklanish qobiliyatining susayishi kuzatiladi.

O'zini qanday namoyon qiladi

Ayolga noqulaylik tug'diruvchi asosiy shikoyatlari - tez-tez og'riqli siyishga, qorin og'rig'iga va isitmani kotarilishi kuzatiladi va bu uning kundalik faoliyatini cheklanishiga, ba'zi hollarda nogironlik va jinsiy hayotni tugatilishiga olib keladi.

Diagnostika

Qovuq - vaginal fistulani aniqlash odatda hech qanday qiyinchilik tugdirmaydi. Buning uchun qin ko'zgular yoki sistoskop(endoskopik texnika) yordamida ko'rikdan otkaziladi, yoki rentgen (kolpohrafiya, sistografiya, kompyuter tomografiya) tekshiruvlari talab qilinadi.

Davolash

Fistulani davolash jarrohlik usuli hisoblanadi. Bunda oqmaga bog'liq organlarda nuqsoni alohida tikiladi.

Misol uchun agar siydik pufagi -vaginal fistulalari haqida gapiradigan bo'lsak, avval siydik pufagidigi nuqson, keyin vaginadagi nuqson tikiladi. Odatda yallig'lanish yo'qligida va to'qimalarga yaxshi qon ta'minoti bulganda Ijobiy ta'sir 95% hollarda birinchi operatsiyadan so'ng erishiladi.

Barcha savollaringiz bilan bizga qo'ng'iroq qilishingiz mumkin yoki elektron manzilga maktub yozib yuboring.

Bizning telefon +998 55 055 10 03, +998 55 055 10 03

Manzil:Toshkent shahri Uchtepa tumani, 12 mavze,M. Shayxzoda ko'chasi 7 uy