Algorithm for the Diagnosis of Vesicovaginal Fistula - Flowchart

Algorithm for the Diagnosis of Vesicovaginal Fistula - Flowchart

Algorithm for the Diagnosis of Vesicovaginal Fistula - Flowchart Vaginal Fistulas Vaginal Fistulas

«Flowchart»

Patient with suspected VVF due to urinary leakage

Patient with suspected VVF due to urinary leakage

Patient with suspected VVF due to urinary leakage

History and physical examination ± dye test

History and physical examination ± dye test

History and physical examination ± dye test

Cystoscopy ± biopsy

Cystoscopy ± biopsy

Cystoscopy ± biopsy

VVF located?

VVF located?

VVF located?

Yes

Yes

Yes

No

No

No

VVF repair and ureteral repair

VVF repair and ureteral repair

VVF repair and ureteral repair

VVF repair

VVF repair

VVF repair

Evaluate for ureteral injury (CT, RPG, IVU, etc.)

Evaluate for ureteral injury (CT, RPG, IVU, etc.)

Evaluate for ureteral injury (CT, RPG, IVU, etc.)

Yes

Yes

Yes

No

No

No

End

End

End

VCUG, cystography

VCUG, cystography

VCUG, cystography

VVF found

VVF found

VVF found

VVF not found

VVF not found

VVF not found

Consider other causes (e.g., urinary incontinence, vaginitis, etc.)

Consider other causes (e.g., urinary incontinence, vaginitis, etc.)

Consider other causes (e.g., urinary incontinence, vaginitis, etc.)

Repair ureterovaginal fistula

Repair ureterovaginal fistula

Repair ureterovaginal fistula

Evaluate for ureterovaginal fistula (imaging, etc.)

Evaluate for ureterovaginal fistula (imaging, etc.)

Evaluate for ureterovaginal fistula (imaging, etc.)

Yes

Yes

Yes

No

No

No