What are the symptoms of female urethral fistula?

When women develop urethral fistula, it is medically called travel urinary fistula. Women who undergo gynecological surgery are prone to this disease. It may also be caused by traumatic factors. Some couples are rough during sexual intercourse, which can also lead to urinary tract infections in women. It may also be caused by factors such as urinary system malformations or bladder tuberculosis. So what are the symptoms of female urethral fistula?

Symptoms of urethral fistula in women:

Early symptoms: Urine leakage continuously flows out of the vagina. Unilateral ureterovaginal fistula can still urinate spontaneously, while vesicovaginal fistula with a larger fistula cannot urinate spontaneously. Urine only flows out of the vagina during urination in urethrovaginal fistula.

Late symptoms: Mental depression due to long-term dripping urine, soiling clothes, urine odor, and difficulty living with others. The mattress is damp at night, which causes sexual dysfunction, leading to depression and even world-weariness.

1. Symptoms

1. Urine leakage

That is, urine continuously flows out of the vagina. In unilateral ureterovaginal fistula, there is still spontaneous urination, while in vesicovaginal fistula with a larger fistula, there is no spontaneous urination. In a urethrovaginal fistula, urine leaks out of the vagina only during urination.

2. Urine eczema

Due to long-term stimulation of urine, the perineum and perianal skin becomes red, swollen and thickened, sometimes with papules or superficial ulcers, and vulvar itching and burning pain.

3. Menstrual disorders

10% to 15% of patients experience long-term amenorrhea or decreased menstruation.

4. Depression

Due to long-term urine dripping, clothes are contaminated, and the urine odor is everywhere, making it difficult to live with others. The mattress is damp at night, which causes sexual dysfunction, leading to depression and even world-weariness.

5. Generally, there is a history of delayed labor, difficult labor surgery or gynecological surgery.

2. Diagnosis

Based on the clinical manifestations and medical history, combined with gynecological examination, the diagnosis is not difficult as it reveals urine leakage through the vagina.

Urethral fistula refers to the formation of a fistula in the urethra, where urine is discharged from the fistula instead of the urethral opening. If the fistula is connected to the vagina, urethrovaginal fistula will occur, and the patient will have water flowing from the vagina for a long time; this condition is mainly caused by birth trauma or tumor radiotherapy. Patients are advised to seek medical treatment promptly and recover as soon as possible.

Vaginourethral fistula refers to the formation of a fistula in the urethra, where urine is discharged from the fistula instead of the urethra. If the fistula is connected to the vagina, urethrovaginal fistula will occur, and water will often flow from the patient's vagina. According to the description, this should not be a vaginal urethral fistula. A vaginal urethral fistula is when urine is discharged from the vagina during urination, which means that the urine cannot be controlled and flows out of the vagina. Then it is not just a matter of being a little wet. It is recommended to go to the hospital for examination.