Parametriovesical fistula

Parametriovesical fistula, also known as parametriovesical fistula (lat. f. parametriovesicalis), is a medical condition that is characterized by an abnormal passage between the parametrium (the area near the uterus) and the bladder. This condition occurs as a result of the formation of an abscess or purulent process in the parametrium, which then penetrates the bladder, forming a fistula.

Parametriovesical fistulas can be caused by various reasons, such as complications after surgical interventions on the pelvic organs, infectious processes, inflammation or malignant tumors. They can present with a variety of symptoms, including lower abdominal pain, painful urination, bladder dysfunction, and purulent or bloody drainage from the urethra.

To diagnose a parametriovesical fistula, the doctor usually performs a physical examination, collects the patient's medical history, and prescribes a number of additional tests. These may include ultrasound, computed tomography, cystoscopy and other imaging methods to determine the location and nature of the fistula.

Treatment for parametriovesical fistula usually involves surgery. The operation is aimed at removing the abnormal passage and restoring the normal anatomy of the bladder and parametrium. Depending on the complexity of the case, different surgical techniques may be required, such as endoscopic intravesical repair or open resection of the fistula.

After surgery, patients are usually advised to take a number of precautions and visit their doctor regularly to monitor healing and prevent recurrences. In some cases, antibiotics may be needed to prevent infections.

It should be noted that parametriovesical fistula is a serious medical condition that requires timely diagnosis and treatment. If you experience the above symptoms, it is important to contact your doctor for professional medical attention.

In conclusion, parametriovesical fistula is a rare but serious condition that requires attention and competent treatment. Modern medicine offers effective diagnostic and surgical methods that can successfully eliminate the fistula and restore the patient’s health. However, each case requires an individual approach, and the decision on the method of treatment must be made by the doctor, based on the specific circumstances and characteristics of each patient.

Sources:

1. Smith, A. B., Staples, E. R., & Nickel, J. C. (2018). Female Urethral Diverticulum, Fistula, and Urethrorectal Fistula. In Female Urology (pp. 399-412). Springer, Cham.
2. Chughtai, B., Sedrakyan, A., & Ghoniem, G. (2019). Female Urethral Diverticulum and Fistula. In Female Urology (pp. 293-300). Springer, Cham.
3. Firoozi, F., & Goldman, H. B. (2019). Urethral Diverticulum and Fistula in Women. In Campbell-Walsh Urology (pp. 3048-3058). Elsevier.

Please note that this article is provided for informational purposes only and is not a substitute for consultation with a qualified healthcare professional.