{"id":2604,"date":"2014-03-24T15:00:06","date_gmt":"2014-03-24T18:00:06","guid":{"rendered":"http:\/\/www.drfernandoalmeida.com.br\/blog\/?p=1244"},"modified":"2022-02-22T11:18:23","modified_gmt":"2022-02-22T14:18:23","slug":"fistula-vesico-vaginal-3","status":"publish","type":"post","link":"https:\/\/www.drfernandoalmeida.com.br\/v1\/n\/fistula-vesico-vaginal-3\/","title":{"rendered":"F\u00edstula vesico-vaginal"},"content":{"rendered":"<p>A f\u00edstula vesico-vaginal consiste na comunica\u00e7\u00e3o n\u00e3o anat\u00f4mica entre a bexiga e a vagina, fazendo com que as pacientes sofram de perda involunt\u00e1ria de urina. A f\u00edstula costuma ocorrer em decorr\u00eancia de cirurgias realizadas previamente na regi\u00e3o p\u00e9lvica, entre os casos mais frequentes est\u00e3o pacientes que se submeteram \u00e0 histerectomia (cirurgia para retirada do \u00fatero). Outras causas para a f\u00edstula vesico-vaginal podem ser tamb\u00e9m radioterapia, infec\u00e7\u00f5es e tumores no colo do \u00fatero.<\/p>\n<p>Os principais sintomas al\u00e9m da perda constante de urina s\u00e3o: In\u00fameras infec\u00e7\u00f5es urin\u00e1rias e per\u00edodo p\u00f3s-operat\u00f3rio conturbado com dores intensas e demora a voltar \u00e0s fun\u00e7\u00f5es intestinais.<br \/>\nO diagn\u00f3stico da f\u00edstula vesico-vaginal costuma ser feito rapidamente, com um simples inspe\u00e7\u00e3o na vagina o m\u00e9dico \u00e9 capaz de identificar o orif\u00edcio que est\u00e1 causando o vazamento, por\u00e9m em casos em que este orif\u00edcio \u00e9 muito pequeno, impercept\u00edvel a olho nu \u00e9 necess\u00e1rio a realiza\u00e7\u00e3o de exames de imagem, como: Cistoscopia, Urografia excretora, Uretrocistografia miccional que auxiliar\u00e3o n\u00e3o somente no diagn\u00f3stico, como tamb\u00e9m qual o meio terap\u00eautico mais recomendado a cada caso.<\/p>\n<p>O tratamento para a desconformidade \u00e9 realizado cirurgicamente, visando o fechamento da comunica\u00e7\u00e3o an\u00f4mala entre a bexiga e a vagina. A cirurgia pode ser feita atrav\u00e9s da vagina ou do abd\u00f4men, na maioria dos casos o cirurgi\u00e3o opta por realizar a opera\u00e7\u00e3o via vaginal, pois al\u00e9m de proporcionar \u00e0 paciente per\u00edodo de recupera\u00e7\u00e3o mais curto, evita a reabordagem do abd\u00f4men, haja vista que na maioria dos casos a f\u00edstula ocorreu ap\u00f3s cirurgia abdominal.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A f\u00edstula vesico-vaginal consiste na comunica\u00e7\u00e3o n\u00e3o anat\u00f4mica entre a bexiga e a vagina, fazendo com que as pacientes sofram de perda involunt\u00e1ria de urina. A f\u00edstula costuma ocorrer em decorr\u00eancia de cirurgias realizadas previamente na regi\u00e3o p\u00e9lvica, entre os casos mais frequentes est\u00e3o pacientes que se submeteram \u00e0 histerectomia (cirurgia para retirada do \u00fatero). Outras causas para a f\u00edstula vesico-vaginal podem ser tamb\u00e9m radioterapia, infec\u00e7\u00f5es e tumores no colo do \u00fatero. Os principais sintomas al\u00e9m da perda constante de urina s\u00e3o: In\u00fameras infec\u00e7\u00f5es urin\u00e1rias e per\u00edodo p\u00f3s-operat\u00f3rio conturbado com dores intensas e demora a voltar \u00e0s fun\u00e7\u00f5es intestinais. O diagn\u00f3stico da f\u00edstula vesico-vaginal costuma [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5189,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,18,23,38],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>F\u00edstula vesico-vaginal - Prof. Dr. Fernando Almeida<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drfernandoalmeida.com.br\/v1\/n\/fistula-vesico-vaginal-3\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"F\u00edstula vesico-vaginal - Prof. Dr. Fernando Almeida\" \/>\n<meta property=\"og:description\" content=\"A f\u00edstula vesico-vaginal consiste na comunica\u00e7\u00e3o n\u00e3o anat\u00f4mica entre a bexiga e a vagina, fazendo com que as pacientes sofram de perda involunt\u00e1ria de urina. 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