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University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Urethro-vaginal fistula diagnosis
2673
Surgical resection of urethro-vaginal fistula
9495
location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes

The Academic Hospital Sachsenhausen at the Goethe University Frankfurt was founded in 1985 by the world-famous professor Dr. Carl von Noorden and Dr. Edouard Lampe. At that time it was Germany's first medical institution specializing in the treatment of diabetes.

Urethro-vaginal fistula diagnosis
2113
Surgical resection of urethro-vaginal fistula
6874
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Urethro-vaginal fistula diagnosis
2204
Surgical resection of urethro-vaginal fistula
6882
location_onCountry: Germany
location_searchingCity: Cologne
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Academic Hospital Harlaching Munich

9.2/10 from 32 Votes

The Academic Hospital Harlaching is an emergency medical care facility offering top-class service. With about 700 beds, the hospital treats about 32,000 patients every year.

Urethro-vaginal fistula diagnosis
2284
Surgical resection of urethro-vaginal fistula
7230
location_onCountry: Germany
location_searchingCity: Munich
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Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes

The Neuperlach Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Urethro-vaginal fistula diagnosis
2367
Surgical resection of urethro-vaginal fistula
7209
location_onCountry: Germany
location_searchingCity: Munich

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Urethro-vaginal fistula diagnosis
2382
location_onCountry: Germany
location_searchingCity: Krefeld

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Urethro-vaginal fistula diagnosis
2408
Surgical resection of urethro-vaginal fistula
8648
location_onCountry: Germany
location_searchingCity: Hamburg

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Urethro-vaginal fistula diagnosis
2405
Surgical resection of urethro-vaginal fistula
8607
location_onCountry: Germany
location_searchingCity: Muenster
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Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Urethro-vaginal fistula diagnosis
2242
Surgical resection of urethro-vaginal fistula
7255
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Urethro-vaginal fistula diagnosis
2520
Surgical resection of urethro-vaginal fistula
7473
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificate certificate

PAN Clinic Cologne

9.8/10 from 14 Votes

The PAN Clinic has gained universal recognition due to highly professional doctors and their responsive and careful approach to the treatment.  A team of experienced doctors specialized in 25 medical focuses takes care of the patients' health.

Urethro-vaginal fistula diagnosis
2525
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Urethro-vaginal fistula diagnosis
2661
Surgical resection of urethro-vaginal fistula
9394
location_onCountry: Germany
location_searchingCity: Berlin

St. Vincentius Clinic Karlsruhe

9.8/10 from 23 Votes

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques.

Urethro-vaginal fistula diagnosis
2408
Surgical resection of urethro-vaginal fistula
7262
location_onCountry: Germany
location_searchingCity: Karlsruhe

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Urethro-vaginal fistula diagnosis
2644
Surgical resection of urethro-vaginal fistula
9409
location_onCountry: Germany
location_searchingCity: Berlin

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Urethro-vaginal fistula diagnosis
0.00
Surgical resection of urethro-vaginal fistula
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

Hannover Medical School

9.8/10 from 43 Votes

The Hannover Medical School (MHH) is one of the most efficient medical universities in Germany, treating more than 63,000 inpatients and 460,000 outpatients annually.

Urethro-vaginal fistula diagnosis
2361
Surgical resection of urethro-vaginal fistula
8574
location_onCountry: Germany
location_searchingCity: Hannover
certificate

About the disease

Urethro-vaginal fistula is a condition whereby the abnormal passageway forms between urethra and vagina. This passageway can create feeling of discomfort and also affect the general function of urethra. Urethro-vaginal fistula can develop after the women had the surgery to treat incontinence.

Incontinence is a condition whereby the woman is unable to hold urine due to weak bladder control or when there is unintentional urine leakage. After such surgery the passageway can form, so it is important to follow all the medical instructions after the surgery to avoid complications. Urethro-vaginal fistula can also develop after treatment of diverticulitis, which is inflammation of the diverticulum. Women who had prolonged labor or multiple pregnancies can also develop urethro-vaginal fistula due to weakening of pelvic muscles and also due to short-term loss of muscle tone and support needed to keep all the structures in place. It is important to go to the professional gynecologist when having an examination because sometimes urethro-vaginal fistula can develop after unprofessional obstetric intervention.

Traumas of the urethra, such as fracture for example, can also lead to problems with urethra and, consequently, to development of the fistula Some people who have problems with urination and who need to wear catheter for a continuous period of time also develop urethro-vaginal fistula as a response of the body to foreign object. Penetrating and blunt traumas can also be very harmful especially if they had not been treated completely and when they cause some complications. Obesity can become the cause of urethro-vaginal fistula as well, as the muscle supporting pelvic floor becomes weaker.

Symptoms

  • General discomfort in the urethra area
  • Pain in the lower abdomen
  • Pain when urinating
  • Pain when having sexual intercourse
  • Frequent urination
  • Vaginal discharges

Diagnosis

  • During a general examination, the doctor will conduct a pelvic exam to rule out other causes that can be manifested in similar ways, such as infections.
  • The doctor will check the patient for the signs of inflammation to determine if there had been any changes in the structure of urethra and vaginal walls.
  • Imaging tests such as an ultrasound, MRI or CT scan of urethra will be able to identify the passage which would indicate fistula.
  • The doctor can also run additional imaging tests to check other internal organs of the woman, such as ovaries, intestines, bowel and colon. 

Treatment

  • Surgical closure is the procedure aimed to close the passageway and restore normal functioning of the urethra.
  • The doctor can also prescribe some anti inflammatory medications to alleviate the pain if it is present and also to speed up the recovery.



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