• This is an unwanted connection between the bladder and the vagina.
  • It results in continuous leakage of urine from the vagina.
  • It is an extremely distressing condition that not only affects the patient’s quality of life but also leads to serious infections.
  • Due to the corrosive effect of urine, it can cause sores in the vagina.
  • It occurs after gynecological surgeries and difficult childbirth.
  • In less developed countries, it most commonly results from gynecological surgeries and difficult deliveries.
  • The primary causes include hysterectomy (removal of the uterus).
  • Radiation therapy to the pelvic area and progression of some cancers leading to perforation of the bladder and vagina.
  • An experienced urologist can diagnose it immediately during a vaginal examination. The treatment is always surgical.
  • Surgical techniques can be applied through the abdomen or vagina.
  • When choosing a surgeon, one should prefer a surgeon who performs this surgery frequently.