Diagnosis of a fistula in the genital area
At the beginning of the diagnosis is the exact questioning and examination of the patient. Symptoms such as urinary incontinence or unusual vaginal discharge can provide important indications of a fistula. In some cases, the opening and fistula of the vaginal wall can already be detected during the first vaginal examination.
In any case, the physical examination must be followed by diagnostic equipment in order to determine the exact course, extent and, if necessary, the cause of the fistula. This means a diagnosis using electronic medical equipment. First of all, an ultrasound examination can be carried out, with which a suspicion can be raised regarding the course and size of the fistula. Depending on the exact location of the fistula and the involvement of other organs, bladder or colonoscopies may follow, as well as X-ray and MRI examinations, also with contrast agents or in the form of a so-called “urogram”, in which the urine flow can be examined radiographically.
