vaginal fistula cystoscopy

Vaginal fistula cystoscopy is the use of cystoscopy to examine the vagina, a deeper examination of the vaginal fistula. Sexual intercourse was prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. 3-5 days before surgery, take a bath with 1:5000 potassium permanganate solution. For external use of genital eczema, zinc oxide ointment should be cured after surgery. Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. Basic Information Specialist classification: gynecological examination classification: endoscope Applicable gender: whether women are fasting: fasting Tips: The same room is forbidden for the first three days of the inspection. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. 3-5 days before surgery, take a bath with 1:5000 potassium permanganate solution. Normal value Ureteral vaginal fistula can be retrogradely inserted into the ureteral catheter under cystoscopy. Clinical significance Abnormal result The nature of the sputum can be ascertained, and multiple sputum is found by cystoscopy; and some sputum is too high, and it is not suitable for transvaginal treatment; Can find abnormal conditions in the bladder, such as inflammation of the bladder mucosa (inflammation can cause surgery failure), there are stones in the bladder (with stones can also cause surgery failure). The relationship between the pupil and the ureter can be clarified. The ureteral orifice should be carefully searched for at the edge of the pupil (a paroxysmal urinary tract is observed), and the ureteral catheter can be intubated to clarify the relationship so as to avoid suturing the ureteral orifice during urinary fistula repair. Urinary hernia repair injury to the ureter, has occurred from time to time, should be vigilant. People who need to be examined: people who have symptoms of leakage of urine, fever, bloating, and ascites. Precautions Note before the inspection: sexual intercourse is prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. 3-5 days before surgery, take a bath with 1:5000 potassium permanganate solution. For external use of genital eczema, zinc oxide ointment should be cured after surgery. Elderly patients or amenorrhea, oral estrogen preparations should be taken for half a month before surgery to promote vaginal epithelial hyperplasia, which is conducive to wound healing. Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. The catheter remains for 7-14 days. The amount of fluid after surgery should not be less than 3000ml per day, and a large amount of urine should be used to flush the bladder to prevent urinary tract infection. Keep the vulva clean and dry. Continue to give broad-spectrum antibiotics to prevent infection after surgery. Inspection process Grasp the direction of the mirror and gradually establish a good sense of direction in the operation: know your current position and the part you are observing. Female urethra is short, easy to enter the mirror, but be careful not to slip into the vagina. The male has a slight downward pressure on the posterior urethra and needs to gently slide into the bladder instead of inserting it. When the lens is difficult, you can look directly into the mirror under the monitor. After the speculum was inserted into the bladder, the lens core was withdrawn and the residual urine volume was measured. If the urine is turbid, it should be washed repeatedly until it is clear, and then switched into the inspection speculum. The saline is poured into the bladder to gradually fill it so as not to cause the patient to have a feeling of bladder swelling (generally about 300 ml). Slowly pull the speculum out and see the bladder neck. The ureteral fistula can be seen by pushing the speculum at 2 to 3 cm at the lower corners of the bladder neck. At both sides of the clock from 5 o'clock to 7 o'clock, at both ends of the ureteral fistula, both sides of the ureteral orifice can be found. According to the order of the bladder triangle (including the double ureteral orifice) - the posterior wall - the side wall - the top bubble - the anterior wall ..., do not leave a dead angle. Familiar with various normal and diseased images. When removing the tube, you should pay attention to it: if it is a soft foreign body pliers (to be inserted from the operation hole), it should be with the mirror to exit, pay attention to the curvature of the urethra, do not damage. The hard one to be combined with the mirror can be taken directly from the sheath, then the NS in the bladder is emptied, and the obturator is inserted into the sheath to prevent the anterior end of the sheath from scratching the urethra. Not suitable for the crowd Inappropriate people: menstruating women. Adverse reactions and risks Nothing.

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