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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.

Diagnostic tests for vesico-vaginal fistula
1510
Treatment of vesico-vaginal fistula with its plastic reconstruction
12144
location_onCountry: Germany
location_searchingCity: Cologne
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Charite University Hospital Berlin

9/10 from 95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Diagnostic tests for vesico-vaginal fistula
2602
Treatment of vesico-vaginal fistula with its plastic reconstruction
22206
location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

The Hospital of the Ludwig-Maximilians-University (LMU) Munich is a center of high-end medicine, medical innovation and medical and technical progress, which enables an individual and safe patient care.

Diagnostic tests for vesico-vaginal fistula
2024
Treatment of vesico-vaginal fistula with its plastic reconstruction
16275
location_onCountry: Germany
location_searchingCity: Munich
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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.

Diagnostic tests for vesico-vaginal fistula
1649
Treatment of vesico-vaginal fistula with its plastic reconstruction
13848
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

The University Medical Center Hamburg-Eppendorf (UKE) consists of more than 80 interdisciplinary cooperating departments, polyclinics and institutes within 14 medical centers. The Medical Center has over 1,346 beds.

Diagnostic tests for vesico-vaginal fistula
2385
Treatment of vesico-vaginal fistula with its plastic reconstruction
18814
location_onCountry: Germany
location_searchingCity: Hamburg
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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.

Diagnostic tests for vesico-vaginal fistula
1678
Treatment of vesico-vaginal fistula with its plastic reconstruction
13672
location_onCountry: Germany
location_searchingCity: Hamburg

Academic Urological Clinic Dortmund

9.8/10 from 14 Votes

As an Academic Hospital of the University of Münster, the Urological Clinic Dortmund offers first-class medical care, corresponding to the achievements of modern medicine.

Diagnostic tests for vesico-vaginal fistula
1503
Treatment of vesico-vaginal fistula with its plastic reconstruction
12347
location_onCountry: Germany
location_searchingCity: Dortmund

Leverkusen Clinic

10/10 from 23 Votes

The Leverkusen Clinic is a hospital with a top-class regional medical care. It has the highly qualified diagnostic and health care facilities.

Diagnostic tests for vesico-vaginal fistula
1584
Treatment of vesico-vaginal fistula with its plastic reconstruction
12969
location_onCountry: Germany
location_searchingCity: Leverkusen

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.

Diagnostic tests for vesico-vaginal fistula
1671
Treatment of vesico-vaginal fistula with its plastic reconstruction
13988
location_onCountry: Germany
location_searchingCity: Muenster

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.

Diagnostic tests for vesico-vaginal fistula
2059
Treatment of vesico-vaginal fistula with its plastic reconstruction
16143
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Diagnostic tests for vesico-vaginal fistula
1645
Treatment of vesico-vaginal fistula with its plastic reconstruction
13980
location_onCountry: Germany
location_searchingCity: Munich

PAN Clinic Cologne

9/10 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.

Diagnostic tests for vesico-vaginal fistula
1672
Treatment of vesico-vaginal fistula with its plastic reconstruction
13707
location_onCountry: Germany
location_searchingCity: Cologne

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.

Diagnostic tests for vesico-vaginal fistula
1569
Treatment of vesico-vaginal fistula with its plastic reconstruction
13014
location_onCountry: Germany
location_searchingCity: Krefeld

Urology Hospital Munich-Planegg Munich

9/10 from 23 Votes

The Urology Hospital Munich - Planegg, founded in 1969, is one of the most advanced specialized urology clinics in Germany. The main focuses of the hospital include urologic oncology, reconstructive surgery, general urology, andrology and pediatric urology.

Diagnostic tests for vesico-vaginal fistula
1672
Treatment of vesico-vaginal fistula with its plastic reconstruction
13868
location_onCountry: Germany
location_searchingCity: Munich

Preventicum Diagnostic Сlinic Essen

10/10 from 1 Votes

The Preventicum Diagnostic Clinic has been intensively working over the years to become one of the leading medical excellence centres in Germany.

Diagnostic tests for vesico-vaginal fistula
2180
location_onCountry: Germany
location_searchingCity: Essen

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.

Diagnostic tests for vesico-vaginal fistula
1655
Treatment of vesico-vaginal fistula with its plastic reconstruction
13684
location_onCountry: Germany
location_searchingCity: Hannover
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About the disease

A vesico-vaginal fistula is a type of urogenital fistula, whereby a hole develops between the vaginal wall and the bladder. As a result, urine leaks into the vaginal cavity.

For some women, the involuntary discharge of urine can be continuous. In severe cases, these discharges can cause a woman to develop problems with urination and diseases of the urinary tract. A vesico-vaginal fistula can cause physical discomfort in the vaginal area and the subsequent incontinence can be quite embarrassing for the individual, having a knock-on psychological effect on them. Moreover, as the urine leaks into the vaginal vault, there is a higher risk of developing an infection, such as cystitis. It can lead to various inflammatory processes, especially when practicing unprotected sex.

There are many factors that can lead to the development of a vesico-vaginal fistula. Multiple pregnancies or prolonged labor are among them. When a woman is in labor, her pelvic muscles are put under a tremendous amount of strain, causing them to weaken. The loss of their support and strength can lead to the development of a vesico-vaginal fistula. Frequent weight-lifting and obesity can also have a detrimental effect on the vaginal muscles, thereby making the individual more susceptible to developing a vesico-vaginal fistula.

Symptoms

  • Discomfort in the vaginal area
  • Frequent urination
  • Urine leakage
  • Discharges
  • Pain when urinating
  • Pain during sexual intercourse
  • Inflammation

Diagnosis

  • During a general examination, the doctor will check the patient’s vaginal area for signs of infection or disease. These may manifest similar symptoms to a vesico-vaginal fistula.
  • The doctor will also conduct tests to rule out the possibility of a sexually transmitted disease. The doctor will ask the patient about her sex life, the number of sexual partners she has had and the types of contraception she and her partner(s) use.
  • A urinalysis and blood tests are also useful in determining whether the patient has caught an infection.
  • An ultrasound and other imaging tests, such as an MRI or CT scan, can also show if there is a hole between the vagina and the bladder.

Treatment

  • Plastic reconstruction surgery closes the hole and normalizes the structure between the vagina and the bladder.
  • After surgery, the patient may need to use a catheter for a few days while the repaired tissue heals.



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