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VVF Surgery

VVF Surgery in Jaipur – Best VVF Surgeon in Jaipur

Continuous urine leakage through the vagina may be caused by a vesicovaginal fistula (VVF)—an abnormal opening between the bladder and vagina. The Institute of Urology provides diagnosis and VVF Surgery in Jaipur using vaginal, abdominal and minimally invasive approaches, including laparoscopic repair.

Treatment is planned according to the fistula’s size, location, complexity, tissue condition and previous surgeries, with the aim of closing the fistula and restoring normal urinary function.

What Is a Vesicovaginal Fistula?

A vesicovaginal fistula is an abnormal connection between the urinary bladder and the vagina. Because of this opening, urine stored in the bladder can pass directly into the vagina instead of leaving only through the urethra.

The amount of leakage can vary. Some women experience continuous wetness, while others notice intermittent leakage depending on the fistula’s size and location. A woman may still be able to urinate normally through the urethra while also experiencing uncontrolled vaginal leakage.

What Is a Vesicovaginal Fistula?

Symptoms of VVF

The most characteristic symptom of VVF is continuous or recurrent leakage of urine through the vagina. Leakage may begin soon after pelvic surgery or childbirth, although the timing can vary depending on the cause and extent of tissue damage.
Continuous urine leakage through the vagina

Continuous urine leakage through the vagina

Constant wetness of clothes or undergarments

Constant wetness of clothes or undergarments

Leakage despite recently emptying the bladder

Leakage despite recently emptying the bladder

Clear or urine-like vaginal discharge

Clear or urine-like vaginal discharge

Foul-smelling vaginal discharge

Foul-smelling vaginal discharge

Vaginal or vulval irritation

Vaginal or vulval irritation

Recurrent urinary tract infections

Recurrent urinary tract infections

Repeated vaginal infections

Repeated vaginal infections

Pelvic discomfort

Pelvic
discomfort

What Causes VVF?

What Causes VVF?

VVF develops when tissue between the bladder and vagina is injured, loses its blood supply or fails to heal properly. This creates an opening through which urine can pass.

When Should You Consult a VVF Surgeon in Jaipur?

Consult a reconstructive urologist for continuous urine leakage through the vagina, particularly after childbirth, hysterectomy or pelvic surgery. Evaluation is also advised for persistent day-and-night leakage, recurrent urinary or vaginal infections, failed fistula repair, leakage despite catheter use, previous pelvic radiation, or urinary symptoms with fever or pelvic pain. Timely assessment can help identify the cause and guide appropriate treatment.

Why Choose the Institute of Urology?

The Institute of Urology provides diagnosis and reconstructive treatment for short, long, recurrent and complex urethral strictures.

Institute of Urology

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Frequently Asked Questions

VVF stands for vesicovaginal fistula. It is an abnormal opening between the urinary bladder and vagina that causes urine to leak through the vagina.
The most common symptom is continuous or recurrent urine leakage from the vagina, even after the patient has emptied her bladder normally.
Yes. Vesicovaginal fistula can occasionally develop after hysterectomy or another pelvic operation if the bladder or nearby tissues are injured.
Yes. Prolonged obstructed labour can damage the tissues between the bladder and vagina and lead to an obstetric fistula.
Most established fistulas require surgical repair. A small and newly formed fistula may occasionally heal with continuous catheter drainage, but this is only suitable for selected patients.
Diagnosis may involve a vaginal examination, dye test, cystoscopy, CT urography or other urinary imaging. These investigations also help distinguish VVF from a ureteric fistula.

Recurrence is possible, particularly in complex cases or patients with poor tissue quality, inflammatory disease, previous failed operations or radiation damage. Regular follow-up helps detect narrowing early.

There is no single approach suitable for every patient. Repair may be performed through the vagina, abdomen or laparoscopy depending on the fistula’s location, size, complexity and surrounding tissue.
A urinary catheter usually remains in place for several weeks to keep the bladder empty while the repair heals. The exact duration is decided by the surgeon.
Recurrence is possible, particularly in large, radiation-related, complex or previously repaired fistulas. Careful surgical planning and postoperative bladder drainage are important.