The treatment of urinary fistula is complex and will usually require surgical reconstruction.
Make sure that the surgeons involved are certified to do so, use the latest technologies and achieve the best quality of life for the patient.
In case of urinary fistula, either with the vagina or the gastrointestinal tract, involuntary urine leakage or gas emission through the urethra may occur. If not operated, these symptoms do not disappear. Occasionally, fistulas may close spontaneously by placing a bladder catheter, but surgical intervention is usually required.
If the fistulas are not operated, the probability of spontaneous healing is low, although sometimes they can close with the placement of a bladder catheter. However, the time required is not short, requiring several weeks.
Treatment ranges from conservative maneuvers such as bladder catheterization to the need for surgery. The type of surgery depends on the origin and size of the fistula and may require a vaginal, abdominal or laparoscopic approach. In cases of fistulas from the urinary tract to the digestive tract, a colostomy may be required, i.e. a bag to collect the feces.
In case of radiotherapy, fistulas usually have a more complex treatment. Radiotherapy is an effective treatment in multiple tumors and its complications are rare. However, on isolated occasions, especially in association with pelvic surgery, it increases the risk of development of fistulas from the urinary tract to the vagina or the gastrointestinal tract.
Da Vinci and Hugo RAS Platforms for robot-assisted partial nephrectomy: a preliminary prospective comparative analysis of the outcomes.