Fistulas

Fistulas

What is a fistula?

A fistula, also known as a pipe ulcer, is an abnormal connection between two hollow organs in the body or between a hollow organ and the skin. These connections can occur between organs such as the bowel and the bladder, the vagina, the urethra, or between the bladder and the skin.

Symptoms due to a fistula

The symptoms of a fistula vary depending on the location and type. Some possible symptoms include:

• Pain when urinating.
• Presence of air bubbles in the urine.
• Loss of urine or stool through routes other than normal, such as through the vagina, anus, or a fistula in the skin, leading to lack of control of urine or stool.
• Irritation of the skin around the fistula opening.
• Unpleasant odour.

How a fistula occurs and treatment options

Fistulas often occur after inflammations, such as boils, and manifest as passageways or tubes under the skin. They may appear around the anus or vagina and are often associated with pus or fluid secretion. Treatments vary, but a fistula will not disappear on its own.

Treatment of fistula

First, an additional examination will determine the depth and extensiveness of the fistula formation. Depending on this, laser or surgical treatment will take place. If you take blood-thinning drugs, it is important to tell your doctor prior to treatments for a fistula.

Frequently Asked Questions about Fistulas

What is a fistula?

A fistula is an abnormal connection between two organs or between an organ and the skin. This can occur, for example, between the bowel and the skin around the anus, or between the bowel and the vagina or bladder. A fistula often develops as a result of inflammation and may appear as a small tunnel beneath the skin.

What symptoms can a fistula cause?

Symptoms vary depending on the location and type of fistula. Possible complaints include pain, discharge of fluid or pus, skin irritation, an unpleasant odor, or involuntary leakage of urine or stool. Not everyone experiences the same symptoms.

How does a fistula develop?

A fistula often develops after an infection or inflammation, such as an abscess near the anus or in the pelvic area. In some cases, a fistula forms following previous surgery or underlying medical conditions. The exact cause differs from person to person.

Can a fistula heal on its own?

In most cases, a fistula does not heal spontaneously. Without treatment, it may persist or gradually worsen. Therefore, medical evaluation is important if symptoms continue.

How is a fistula diagnosed?

Additional examinations may be required to assess the location, depth, and extent of the fistula. These investigations help determine the most appropriate treatment option for your situation.

What treatment options are available for fistulas?

Treatment depends on the type and severity of the fistula. In some cases, surgical treatment may be recommended, while in other situations laser therapy can be considered. During a consultation, the doctor will discuss which approach may be suitable for you.