U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Urogenital fistula

MedGen UID:
163124
•Concept ID:
C0853877
•
Anatomical Abnormality
Synonyms: Fistula of genitourinary tract; Genitourinary Fistula; Urogenital Fistula
SNOMED CT: Fistula of genitourinary tract (735476006); Urogenital fistula (735476006)
 
HPO: HP:0100589

Definition

The presence of a fistula affecting the genitourinary system. [from HPO]

Professional guidelines

PubMed

Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.
Raassen TJIP, Ngongo CJ, Mahendeka MM
Int Urogynecol J 2018 Sep;29(9):1303-1309. Epub 2017 Oct 11 doi: 10.1007/s00192-017-3483-4. PMID: 29022054Free PMC Article
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407

Recent clinical studies

Etiology

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study.
Maroyi R, Moureau MK, Brown HW, Ajay R, Byabene G, Mukwege DM
BMC Pregnancy Childbirth 2023 Jan 23;23(1):54. doi: 10.1186/s12884-023-05357-3. PMID: 36690977Free PMC Article
Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Evaluation of etiology, characteristics, and treatment of patients with vesicovaginal fistula observed in rural Africa.
Akpak YK, Yenidede I, Kilicci C
J Gynecol Obstet Hum Reprod 2021 Jun;50(6):101879. Epub 2020 Jul 23 doi: 10.1016/j.jogoh.2020.101879. PMID: 32712179
Bladder spasm following urogenital fistula repair.
Ekwedigwe KC, Isikhuemen ME, Sunday-Adeoye I, Yakubu EN, Eliboh MO
Int J Gynaecol Obstet 2017 Sep;138(3):299-303. Epub 2017 Jun 21 doi: 10.1002/ijgo.12226. PMID: 28574159

Diagnosis

Single-Port Transvesical Vesico-Vaginal Fistula Repair: An Initial Experience.
Cannoletta D, Pellegrino A, Pettenuzzo G, Pacini M, Sauer RC, Torres-Anguiano JR, Morgantini L, Crivellaro S
Int Braz J Urol 2024 Jul-Aug;50(4):502-503. doi: 10.1590/S1677-5538.IBJU.2024.0146. PMID: 38743067Free PMC Article
Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.
Raassen TJIP, Ngongo CJ, Mahendeka MM
Int Urogynecol J 2018 Sep;29(9):1303-1309. Epub 2017 Oct 11 doi: 10.1007/s00192-017-3483-4. PMID: 29022054Free PMC Article
Changing trends in the etiology and management of vesicovaginal fistula.
Malik MA, Sohail M, Malik MT, Khalid N, Akram A
Int J Urol 2018 Jan;25(1):25-29. Epub 2017 Aug 1 doi: 10.1111/iju.13419. PMID: 28762575
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Therapy

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study.
Maroyi R, Moureau MK, Brown HW, Ajay R, Byabene G, Mukwege DM
BMC Pregnancy Childbirth 2023 Jan 23;23(1):54. doi: 10.1186/s12884-023-05357-3. PMID: 36690977Free PMC Article
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Changing trends in the etiology and management of vesicovaginal fistula.
Malik MA, Sohail M, Malik MT, Khalid N, Akram A
Int J Urol 2018 Jan;25(1):25-29. Epub 2017 Aug 1 doi: 10.1111/iju.13419. PMID: 28762575
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Prognosis

Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Panzi score as a parsimonious indicator of urogenital fistula severity derived from Goh and Waaldijk classifications.
Mukwege D, Peters L, Amisi C, Mukwege A, Smith AR, Miller JM
Int J Gynaecol Obstet 2018 Aug;142(2):187-193. Epub 2018 May 22 doi: 10.1002/ijgo.12514. PMID: 29705989Free PMC Article
Bladder spasm following urogenital fistula repair.
Ekwedigwe KC, Isikhuemen ME, Sunday-Adeoye I, Yakubu EN, Eliboh MO
Int J Gynaecol Obstet 2017 Sep;138(3):299-303. Epub 2017 Jun 21 doi: 10.1002/ijgo.12226. PMID: 28574159
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Clinical prediction guides

Female non-obstetric urogenital fistula repair: long-term patient-reported outcomes and a scoping literature review.
Klemm J, Stelzl DR, Schulz RJ, Marks P, Shariat SF, Fisch M, Dahlem R, Vetterlein MW
BJU Int 2024 Sep;134(3):407-415. Epub 2024 May 11 doi: 10.1111/bju.16395. PMID: 38733321
Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Evaluation of etiology, characteristics, and treatment of patients with vesicovaginal fistula observed in rural Africa.
Akpak YK, Yenidede I, Kilicci C
J Gynecol Obstet Hum Reprod 2021 Jun;50(6):101879. Epub 2020 Jul 23 doi: 10.1016/j.jogoh.2020.101879. PMID: 32712179
Rising trends in iatrogenic urogenital fistula: A new challenge.
Tasnim N, Bangash K, Amin O, Luqman S, Hina H
Int J Gynaecol Obstet 2020 Jan;148 Suppl 1(Suppl 1):33-36. doi: 10.1002/ijgo.13037. PMID: 31943186Free PMC Article
Panzi score as a parsimonious indicator of urogenital fistula severity derived from Goh and Waaldijk classifications.
Mukwege D, Peters L, Amisi C, Mukwege A, Smith AR, Miller JM
Int J Gynaecol Obstet 2018 Aug;142(2):187-193. Epub 2018 May 22 doi: 10.1002/ijgo.12514. PMID: 29705989Free PMC Article

Recent systematic reviews

Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Consequences of obstetric fistula in sub Sahara African countries, from patients' perspective: a systematic review of qualitative studies.
Bashah DT, Worku AG, Mengistu MY
BMC Womens Health 2018 Jun 20;18(1):106. doi: 10.1186/s12905-018-0605-1. PMID: 29925358Free PMC Article
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • GTR
      Related information in GTR
    • GTR(Clinical)
      Clinical tests in GTR
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...