VVF

Question 1

What is the test swap?

Answer 1

Pyridine orally
Inject indigo carmine to bladder.
Swap in vagina if blue vesicovaginal fistula
If red uretero vaginal fistula.

Question 2

Best test for fistula

Answer 2

Ct cystogram
Ct urethra gram

Question 3

Important points to remember

Answer 3

Give pt plenty of pads
Mostrisor cream barrier to avoid vaginal irritation from the urine ammonia
Make sure your catheter doesn’t kink
Amonic if excoriation