{"id":7583,"date":"2025-09-17T14:09:35","date_gmt":"2025-09-17T12:09:35","guid":{"rendered":"https:\/\/urocat.cat\/urinary-fistula\/"},"modified":"2025-12-31T14:17:22","modified_gmt":"2025-12-31T13:17:22","slug":"urinary-fistula","status":"publish","type":"page","link":"https:\/\/urocat.cat\/en\/urological-disorders-and-diseases\/urinary-fistula\/","title":{"rendered":"Urinary Fistula"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"7583\" class=\"elementor elementor-7583 elementor-2681\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ca8d9a2 e-con-full body-content-selector e-flex e-con e-parent\" data-id=\"1ca8d9a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3fe519e8 e-con-full e-flex e-con e-child\" data-id=\"3fe519e8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3b612af6 elementor-widget elementor-widget-heading\" data-id=\"3b612af6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Urinary Fistula<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e06325b elementor-widget elementor-widget-text-editor\" data-id=\"7e06325b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A urinary fistula is an abnormal connection that forms between the urinary system and another organ or the skin.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1e40500c elementor-widget elementor-widget-text-editor\" data-id=\"1e40500c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>These fistulas can develop between different parts of the urinary tract or between the urinary tract and adjacent organs, such as the vagina, intestine, or skin. Urinary fistulas may be congenital (present from birth) or acquired, with the latter being more common and generally resulting from surgeries, trauma, infections, or inflammatory diseases.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2851a23 elementor-widget elementor-widget-template\" data-id=\"2851a23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"container\" data-elementor-id=\"8025\" class=\"elementor elementor-8025 elementor-3829 elementor-3829\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a730f1 e-con-full e-flex e-con e-parent\" data-id=\"6a730f1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f0cb40d elementor-align-center elementor-widget elementor-widget-button\" data-id=\"f0cb40d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#simptomes\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Symptoms<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e61e219 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"e61e219\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#diagnostic\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Diagnosis<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d93a72a elementor-align-center elementor-widget elementor-widget-button\" data-id=\"d93a72a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#tractament\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Treatment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-500420b3 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"500420b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#prevencio\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Prevention<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5182a4d0 e-con-full e-flex e-con e-child\" data-id=\"5182a4d0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a717b5a elementor-widget elementor-widget-heading\" data-id=\"6a717b5a\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"simptomes\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Symptoms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e9d0007 elementor-widget elementor-widget-heading\" data-id=\"e9d0007\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">The symptoms of a urinary fistula vary depending on its location and size, but may include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-752efc5c elementor-widget elementor-widget-text-editor\" data-id=\"752efc5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n\t<li><span style=\"font-weight: 700;\">Involuntary leakage of urine:<\/span> passage of urine through an abnormal opening, such as the vagina or the skin.<\/li>\n\t<li><span style=\"font-weight: 700;\">Recurrent urinary tract infections:<\/span> due to the abnormal communication between organs.<\/li>\n\t<li><span style=\"font-weight: 700;\">Skin irritation or inflammation:<\/span> in the area where urine continuously leaks.<\/li>\n\t<li><span style=\"font-weight: 700;\">Presence of gas or feces in the urine:<\/span> if the fistula connects the urinary tract with the intestine.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c73b3d0 elementor-widget elementor-widget-text-editor\" data-id=\"7c73b3d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>It is important to note that the presence of these symptoms should be assessed by a healthcare professional for proper diagnosis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-12782fd1 e-con-full e-flex e-con e-child\" data-id=\"12782fd1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53e89004 elementor-widget elementor-widget-heading\" data-id=\"53e89004\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"diagnostic\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diagnosis<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34a6fd10 elementor-widget elementor-widget-heading\" data-id=\"34a6fd10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">The diagnosis of a urinary fistula involves a combination of clinical history, physical examination, and diagnostic tests, which may include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b5fedfb elementor-widget elementor-widget-text-editor\" data-id=\"4b5fedfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n\t<li><span style=\"font-weight: 700;\">Cystoscopy:<\/span> allows visualization of the inside of the bladder and urethra to identify possible fistulas.<\/li>\n\t<li><span style=\"font-weight: 700;\">Radiology:<\/span> such as computed tomography (CT) or magnetic resonance imaging (MRI), in addition to contrast studies in which contrast material is introduced into the bladder or urinary tract to visualize the fistula on X-rays (catheter-based pyelography, intravenous pyelography, or voiding cystography) to locate and assess the extent of the fistula.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d6f311e elementor-widget elementor-widget-text-editor\" data-id=\"d6f311e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>These tests help determine the exact location and size of the fistula, which is essential for planning appropriate treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-10b437a2 e-con-full e-flex e-con e-child\" data-id=\"10b437a2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39d9ba9 elementor-widget elementor-widget-heading\" data-id=\"39d9ba9\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"tractament\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Treatment<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cfbaa88 elementor-widget elementor-widget-heading\" data-id=\"7cfbaa88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">The treatment of a urinary fistula depends on its cause, location, and size, as well as the patient's general health status. Treatment options may include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b26f085 elementor-widget elementor-widget-heading\" data-id=\"b26f085\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Conservative Treatment<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30453c0 elementor-widget elementor-widget-heading\" data-id=\"30453c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">In selected cases, especially with small fistulas, conservative management may be chosen, including:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5164282c elementor-widget elementor-widget-text-editor\" data-id=\"5164282c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n\t<li><span style=\"font-weight: 700;\">Bladder catheterization:<\/span> placement of a catheter to divert urine and allow spontaneous healing of the fistula.<\/li>\n\t<li><span style=\"font-weight: 700;\">Antibiotics:<\/span> to treat or prevent associated infections.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7062dc9 elementor-widget elementor-widget-heading\" data-id=\"7062dc9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Surgical Treatment<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7823ff elementor-widget elementor-widget-heading\" data-id=\"b7823ff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">If conservative treatment is not effective or the fistula is large, surgery may be necessary to repair the abnormal connection. Surgical techniques vary depending on the location of the fistula and include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5120e4 elementor-widget elementor-widget-text-editor\" data-id=\"e5120e4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n\t<li><span style=\"font-weight: 700;\">Open repair:<\/span> traditional surgery with incisions to access and repair the fistula.<\/li>\n\t<li><span style=\"font-weight: 700;\">Minimally invasive surgery:<\/span> such as conventional or robot-assisted laparoscopy, which uses small incisions and cameras to guide the repair.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7dfa4eb8 elementor-widget elementor-widget-text-editor\" data-id=\"7dfa4eb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The choice of treatment should be individualized and discussed with a urology specialist.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-742e85ce elementor-widget elementor-widget-heading\" data-id=\"742e85ce\" data-element_type=\"widget\" data-e-type=\"widget\" id=\"prevencio\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Prevention<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-760abd3d elementor-widget elementor-widget-heading\" data-id=\"760abd3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\">Prevention of urinary fistulas focuses on minimizing risk factors and adequately managing conditions that may predispose to their formation. Some preventive strategies include:<\/h6>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6bd8c6e5 elementor-widget elementor-widget-text-editor\" data-id=\"6bd8c6e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<ul>\n\t<li><span style=\"font-weight: 700;\">Careful surgical technique:<\/span> during pelvic or abdominal procedures to avoid iatrogenic injuries.<\/li>\n\t<li><span style=\"font-weight: 700;\">Adequate management of urinary tract infections:<\/span> to prevent inflammation that may lead to fistula formation.<\/li>\n\t<li><span style=\"font-weight: 700;\">Control of inflammatory or neoplastic diseases:<\/span> that may affect the urinary tract or adjacent organs.<\/li>\n<\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38009243 elementor-widget elementor-widget-text-editor\" data-id=\"38009243\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Regular medical follow-up and early consultation when suggestive symptoms appear are essential for timely diagnosis and treatment.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Urinary Fistula A urinary fistula is an abnormal connection that forms between the urinary system and another organ or the skin. These fistulas can develop between different parts of the urinary tract or between the urinary tract and adjacent organs, such as the vagina, intestine, or skin. Urinary fistulas may be congenital (present from birth) [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8013,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"class_list":["post-7583","page","type-page","status-publish","hentry"],"acf":{"page_header_title":"","page_header_alignment":"left: Izquierda","page_header_show_breadcrumbs":true,"page_header_breadcrumbs_position":"breadcrumbs-bottom"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Urinary Fistula \u2013 Surgical Repair at UROCAT<\/title>\n<meta name=\"description\" content=\"A urinary fistula is an abnormal communication between urinary pathways. 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