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Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup.
Obstet Gynecol. 2016 12; 128(6):1365-1368.OG

Abstract

BACKGROUND

An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy. The psychologic distress is profound. Surgery may not be an option, making symptom control the priority.

INSTRUMENT

We report the use of a reusable menstrual silicone vaginal cup placed to divert and contain drainage.

EXPERIENCE

The menstrual cup provided significant symptom relief. Drainage is immediately diverted from tissue, unlike with tampon or pad use, which involves longer contact periods with caustic fluids. A system was created by adapting the end of the cup by adding silastic tubing and an external leg bag to provide long-term drainage control.

CONCLUSION

Improvement in quality of life is of primary importance when dealing with fistula drainage. This simple and inexpensive device should be considered in those cases in which the drainage can be diverted as a viable option, especially in those who are symptomatic and awaiting surgical repair or in those for whom surgery cannot be performed.

Authors+Show Affiliations

Departments of Surgery and Bioengineering, School of Medicine, University of Utah, Salt Lake City, Utah.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27824744

Citation

Russell, Katie W., et al. "Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup." Obstetrics and Gynecology, vol. 128, no. 6, 2016, pp. 1365-1368.
Russell KW, Robinson RE, Mone MC, et al. Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup. Obstet Gynecol. 2016;128(6):1365-1368.
Russell, K. W., Robinson, R. E., Mone, M. C., & Scaife, C. L. (2016). Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup. Obstetrics and Gynecology, 128(6), 1365-1368.
Russell KW, et al. Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup. Obstet Gynecol. 2016;128(6):1365-1368. PubMed PMID: 27824744.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Enterovaginal or Vesicovaginal Fistula Control Using a Silicone Cup. AU - Russell,Katie W, AU - Robinson,Ryan E, AU - Mone,Mary C, AU - Scaife,Courtney L, PY - 2016/11/9/pubmed PY - 2017/6/15/medline PY - 2016/11/9/entrez SP - 1365 EP - 1368 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 128 IS - 6 N2 - BACKGROUND: An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy. The psychologic distress is profound. Surgery may not be an option, making symptom control the priority. INSTRUMENT: We report the use of a reusable menstrual silicone vaginal cup placed to divert and contain drainage. EXPERIENCE: The menstrual cup provided significant symptom relief. Drainage is immediately diverted from tissue, unlike with tampon or pad use, which involves longer contact periods with caustic fluids. A system was created by adapting the end of the cup by adding silastic tubing and an external leg bag to provide long-term drainage control. CONCLUSION: Improvement in quality of life is of primary importance when dealing with fistula drainage. This simple and inexpensive device should be considered in those cases in which the drainage can be diverted as a viable option, especially in those who are symptomatic and awaiting surgical repair or in those for whom surgery cannot be performed. SN - 1873-233X UR - https://www.unboundmedicine.com/medline/citation/27824744/Enterovaginal_or_Vesicovaginal_Fistula_Control_Using_a_Silicone_Cup L2 - http://dx.doi.org/10.1097/AOG.0000000000001745 DB - PRIME DP - Unbound Medicine ER -