What does vesicorectal fistula often accompany?

summary

Rectourethral fistula is often difficult to repair due to trauma, infection and multiple operations, and the recurrence rate is high. The key to successful repair is to have good exposure to dissect the fistula quickly and safely; Secondly, the old scar and inflammatory tissue around the fistula should be fully removed, and the rectal fistula should be trimmed into the wound edge with blood supply; Third, the tissue with blood supply should be embedded between rectum and urethra to prevent recurrence of fistula. Let me share with you the early symptoms of rectovesical fistula?.

What does vesicorectal fistula often accompany?

First, vesico intestinal fistula: symptoms of bladder irritation, fecal leakage and urethral exhaust may appear, often accompanied by changes in stool habits caused by primary intestinal diseases. Physical examination may reveal signs of intestinal obstruction. If it is caused by inflammatory diseases, abdominal muscle tension can be found. The examination of urine samples often indicates that the patients are complicated with infection. Barium enema and sigmoid colonoscopy can show the existence of fistula. Generally, after barium enema, urine samples are taken for centrifugation and X-ray examination. If opaque barium is found, cystocolonic fistula can be diagnosed. Cystoscopy has very important diagnostic value and can help to locate the fistula. Obvious inflammatory changes of bladder wall can be seen under cystoscope. Perfusion of contrast media through fistula cannula is often helpful in the diagnosis.

Second, those with large fistulas can maintain normal defecation, which has little effect on development. Even adults can defecate normally, or have only partial incontinence. The normal anus is covered by skin, flat without anus. When the baby is crying, the perineum does not protrude, and there is no sense of impact in finger diagnosis. Because there is no sphincter control, feces flow from the vagina.

Third: the patients with small fistula often have difficulty in defecation within a few months after birth, especially when the stool is gradually dried from thin and soft, and the defecation becomes more and more difficult. They can gradually secondary to megarectum, abdominal distension, and large fecal mass in the left lower abdomen. The children's general condition is poor, showing chronic poisoning, which affects their growth and development. Due to fecal contamination, vaginitis, urethritis and retrograde infection can be secondary.

matters needing attention

1. Indwelling catheter during the operation, inserting catheter from the external orifice of urethra and entering into the bladder through the proximal end of urethrorectal leak, so as to identify the urethra when separating the common wall of rectum and urethra during the operation, so as to avoid injury. 2. Careful and light operation. 3. The key to the success of the operation is to free the blind end of rectum for tension-free anastomosis. 4. It is easy to expose the anterior wall of rectum. It is a simple, safe and effective method to repair rectourethral flaccidity by exposing the flaccidity in rectal cavity.