Classification of Pelvic Floor Fistulas (‘Vesicovaginal/Rectovaginal’): A Review
Pelvic floor fistulas are abnormal communications between the lower urinary tract and/or anorectum and the female genital tract. Classification systems for female pelvic floor fistulas have existed for over 150 years. At present, there is no consensus on a classification system. Traditionally, class...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-04-01
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| Series: | Reproductive Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-3897/6/2/9 |
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| Summary: | Pelvic floor fistulas are abnormal communications between the lower urinary tract and/or anorectum and the female genital tract. Classification systems for female pelvic floor fistulas have existed for over 150 years. At present, there is no consensus on a classification system. Traditionally, classification systems were used for obstetric fistulas. Earlier classification systems were descriptive (small/large/simple/complex) to communicate clinical findings. More recently, classification systems, in particular the Goh and Waaldijk systems, have been tested to predict the outcome of surgical closure and the risk of post-fistula closure urinary incontinence. <b>Conclusions</b>: Features of the fistula may predict outcomes following fistula surgery but other patient features and surgical experience and skill also play a role in the results. |
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| ISSN: | 2673-3897 |