What is a Vesicovaginal Fistula (VVF)?
A vesicovaginal fistula is a hole between the bladder and vagina. Depending on the size of the hole, the urine will drain continuously out the vagina, requiring multiple pullups or pads.
How does a VVF occur?
The most common cause for a VVF is bladder injury that occurs during a hysterectomy (uterus removal). Bladder injuries most commonly occur during open abdominal hysterectomies, followed by laparoscopic assisted vaginal hysterectomies. Bladder injury during a vaginal hysterectomy is very uncommon.
When does a VVF present?
Most VVF present within days of the hysterectomy. Initially, leakage from the vagina may be confused from peritoneal fluid that leaks from the vaginal cuff.