Urinary fistula detection

Urinary sputum test is based on the symptoms of leakage and stagnation, dystocia or gynecological surgery and other gynecological examinations found that there is no leakage of urinary tract in the vagina. Urinary fistula (urinaryfistula) refers to the abnormal passage formed between the reproductive organs and the urinary system, which is characterized by leakage of urine. Common vaginal fistula, urethra vagina, ureterovaginal fistula (collectively called urinary fistula). Basic Information Specialist classification: gynecological examination classification: physical examination Applicable gender: whether women are fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: No leaks were found in the urine. Positive: Methylene blue fluid from the vagina outflow is vaginal fistula or bladder urethra vagina. If it flows out from the cervix, it is a bladder cervix or bladder uterus. Tips: Check should be 3-7 days after menstruation is clean. Normal value No leaks were found in the urine. Clinical significance Abnormal results: 1, simple urinary bladder vaginal fistula, the position is not high, the pupil size is less than 3cm. Urethral vaginal fistula, the pupil is less than 1cm. Bladder cervix vaginal fistula, cervical activity, pupils are more likely to be exposed. Vaginal scars are light and easy to expose. Not repaired, no comorbidities. 2, complex urinary bladder vaginal fistula, pupil size more than 3cm, or ureteral orifice close to the pupillary margin is less than 0.5cm, or the pupil is not more than 3cm, but close to the pubic arch or deep into the side of the dome is not easy to expose. Urethral vaginal fistula, the pupil is more than 1cm, or transverse, completely longitudinal or partial defect. Bladder cervix vaginal fistula, deep cervical rupture, fixed position. Urine and feces combined with sputum (small rectal pupil or low position scar is not heavy), or multiple urinary fistula. There is a moderate scar. Once repair failed, or combined with bladder stones, the perineum was severely torn. Urinary fistula caused by cancer, tuberculosis or radiotherapy damage. 3, the most complicated urinary fistula urethra completely defective. Urinary fistula combined with vaginal severe scar stenosis or atresia. Urine and feces combined with sputum, rectal pupils are huge, or high position, scars are not easy to expose. Methylene test: Methylene blue fluid from the vagina outflow is vaginal fistula or bladder urethra vagina. If it flows out from the cervix, it is a bladder cervix or bladder uterus. If the rouge test is negative, the blue urine can be diagnosed as ureterovaginal fistula. The people who need to be examined are: people who have leakage, fever, bloating, and ascites. Positive results may be diseases: female urinary fistula, urinary fistula matters needing attention Contraindications before examination: The examination should be 3-7 days after the menstruation is clean. Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. For some patients with vaginal scar stenosis, or high, the pupil is very small, can not be seen through general examination, must be diagnosed by special examination. Inspection process When the patient coughs, the urine will overflow from the urethra. At this time, if the food and the middle finger are inserted into the vagina, they are placed on both sides of the urethra (note that the urethra cannot be pressed), and the paraurethral tissue is lifted to the pubic direction. Restoring the normal angle between the bladder and the urethra and the resistance in the urethra, and then coughing the patient, such as the urine no longer spills, not only can be diagnosed as stress urinary incontinence, but also suggest the possibility of surgical cure. The hole must be carefully searched for the test, and if necessary, a methylene blue test is available for identification. Avoid mistaking small urinary tracts as stress urinary incontinence. Not suitable for the crowd Inappropriate people: menstruating women. Adverse reactions and risks Nothing.

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