Outlined
Female reproductive tract and urinary fistula refers to the abnormal passage between the urinary organs. Including obstetric fistula, urethral fistula, Treatment of vesicovaginal fistula, such as transmission of urethrovaginal fistula. One of the most painful disease for women, because the vagina by the outflow of urine control, The bad Xingsao mean that the patients affected by the unusual contact with the surrounding, to a patient's mental and physical suffering greatly.

Clinical manifestations
1. Leak, that is beyond the control of the flow of urine from vaginal fistula-hour pad with the posture of the hole. 2. Buttocks and genital dermatitis. 3. More associated with urinary tract infection. 4. Narrow scar by vaginal intercourse can cause difficulties. 5. Some patients have amenorrhea.

Diagnosis
1. Patients unable to exercise self-control in the vagina whose urine flow. 2. Gynecological examinations can see vaginal urine outflow fistula can find the hole, stopped the flow of urine. 3. Meilan test, 4. Cystoscopy examination or through ureteropelvic, cystography can finally diagnosed.

Treatment
1. Surgical repair fistula. 2. As a result of cancer caused by tuberculosis, the treatment of the primary disease.

Medicine Principles
1. Anti-infection after surgery required antibiotics, which is one key to the success or failure of the operation; 2. fluid volume than others after surgery; 3. If more preoperative anemia or bleeding or blood transfusion may, at their discretion, human serum albumin.

Supplementary examination
1. Limit patients to check on the general framework of "A" will clear diagnosis; 2. ureteral fistula or stoma complex case ad hoc inspections could include restrictions check box "A" and "B." 3. If suspected pelvic mass, the ad hoc inspections could include restrictions check box "A" and "B" or "C."

Evaluation
1. Cured after surgery : not leak. 2. Leak reduction : improved after surgery. 3. Leak has not healed after surgery : the increase or decrease

This article was posted on 2007-02-27