Bladder fistula Suprapubic

A fistula is a channel or opening through which liquids, gases or solids can escape, but without this function. Fistulas can form in different places in the body and can have different causes.

One type of fistula is a vesical suprapubic fistula. The bladder is an organ of the urinary system in which urine accumulates, which is then excreted through the urethra. The suprapubic canals are the area between the pubic bone and the abdominal wall where infections often occur. Thus, a vesico-suprapubic fistula occurs where the channel in the bladder connects to the channel above the pubic bone.

The urinary-suprapubic fistula is an unaesthetic channel from the bladder to the abdominal wall. The resulting channel can be in the form of a small hole under the skin, sometimes a few centimeters from the surface of the skin. This can lead to persistent urine and gas, as well as bruising and scarring. This complication is the result of unsuccessful surgery to treat other diseases. For example, it can form during surgery related to the prostate gland or bladder, when the operation worsens and leads to the appearance of a channel in the bladder and abdomen. Another common source is uncontrolled diabetes, which causes complications in the body (such as pancreatic complications that can lead to urine leakage and bleeding).

Treatment for vesical fistulas usually involves taking antibiotics containing different antibiotics to avoid the possibility of infections, and also requires symptomatic surgery. With symptomatic surgery, the scrotum is freed from the fistula by performing a direct biopsy and destroying the adjacent tissue. Sometimes this is accompanied by the use of fibrin film to seal the wound, and less often, on the contrary, a complete hernia repair is necessary. Urinary fistulas are successfully treated surgically. Drug therapy usually only reduces symptoms, but does not eliminate the problem.

A suprapubic fistula is a connective tissue anomaly that is formed as a result of non-fusion of the embryonic membrane between the bladder and the pubis. Pathology often occurs due to infectious diseases of the genitourinary organs or postoperative complications. To diagnose pathology, cystoscopy and ultrasound are used. Treatment consists of surgical excision of the fistula and its compaction. Plasters are produced if necessary