Bladder fistula leaking without realizing it, to get out of diapers?
Jan 31, 2025
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Bladder fistula is a disease that causes holes in the bladder and vagina due to pathological conditions. Because of this, urine filled in the bladder flows through the hole into the vagina, and urine flows out into the vaginal opening. Considering that an average of 2 to 4 liters of urine is produced per day in adults, patients with cystic fistula should always wear diapers.
Bae Jae-hyun, a professor of urology at Korea University Ansan Hospital, said, `Bangjilu patients suffer greatly physically and mentally"It is difficult to live a normal sex life, and it is inevitably vulnerable to infectious diseases such as eczema and dermatitis in the perineum area."
Although bladder fistula can be mistaken for urinary incontinence, the two diseases show a big difference in mechanism and symptoms. Basically, the bladder fistula discharges urine through the vagina, and urinary incontinence is discharged through the urethra. In addition, the cause of bladder fistula is mainly bladder damage caused by pelvic surgery such as hysterectomy, while incontinence is caused by an increase in abdominal pressure, weakening of pelvic muscles, and involuntary contraction of bladder muscles. In addition, bladder fistula leaks urine even if it is still, but urinary incontinence is often leaked in certain situations where abdominal pressure increases, such as coughing or laughter, or bladder is inflated.
Bladder fistula is a disease that is difficult to heal naturally, but if the bladder damage is not large or the bladder size is sufficient for surgery, it can be fully cured through proper surgery. The basic technique of surgery is to remove tissues around fistulas that do not supply blood flow smoothly and seal them in several layers to prevent urine leakage.
However, if the tissue around the fistula is not healthy and the suture site is not well healed, there is a high risk of recurrence, and the fistula location is located deep inside, so it is considered a high-level surgery that requires expertise. A method through the vagina, abdominal cavity, or bladder is used to access the fistula. Recently, cystic fistula air injection, which operates lesions with laparoscopy or robots while inflating by injecting air into the bladder without a bladder incision, has attracted attention.
Professor Bae said "Casual fistula air injection allows more detailed examination of the surgical site with a wide field of view, thereby minimizing damage to surrounding tissueHe explained that the proficiency of a doctor is very important because it is a surgical method that requires expertise in high-level surgery.
In addition, "Although this surgery cannot be applied to all patients with cystic fistula, the development of medical techniques and equipment has expanded the indication and increased the likelihood of a complete cure."In the future, as cystic fistula air injection using robots becomes more common, patients can expect a faster recovery and higher treatment satisfaction."
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This article was translated by Naver AI translator.
