Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Female Urogenital Fistula

Female Urogenital Fistula

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Patrick J. Culligan

Patrick Culligan, MD, FACOG, FACS, graduated from Georgia Tech in 1989 and from the Mercer University School of Medicine in 1993. After completing his residency in Obstetrics and Gynecology with the Greenville Hospital System / University of South Carolina, he went on to a fellowship in Urogynecology and Reconstructive Pelvic Surgery at the Evanston Continence Center, Northwestern University Medical School, where he trained extensively in the surgical and non-surgical management of all pelvic floor disorder such as pelvic organ prolapse, urinary incontinence, and fecal incontinence.

The Iris Cantor Men’s Health Center

Appointments: (646) 962-4811

The Iris Cantor Men's Health Center offers a complete and comprehensive array of healthcare services for men at a single clinical location in New York City. The objective of the Center is to provide an integrated, one-stop medical experience for men's healthcare. This center provides comprehensive care under specialties including Preventative Medicine, Internal Medicine, Endocrinology, Cardiology, Urology, Rehabilitation Medicine, Nutrition, Plastic Surgery, and Clinical Genetics.

Bilal Chughtai

Bilal Chughtai, MD is an Associate Professor of Urology and an Associate Professor of Urology in Obstetrics and Gynecology at Weill Cornell Medicine. He is also an Associate Attending Urologist at NewYork-Presbyterian Hospital. Dr. Chughtai specializes in Voiding Dysfunction, Female Urology, and Neurourology.

Female Urogenital Fistula - Treatment Options

Conservative (non-surgical) therapy is rarely effective for urogenital fistulas; most vaginal fistulas require surgery to close the opening. Vaginal fistulas are usually treated with surgery through the abdomen or vagina. In certain cases, they may be treated with laparoscopic or robotic surgery.

Female Urogenital Fistula - Symptoms & Evaluation

The symptoms of vaginal fistulas include leakage of urine or feces through the vagina. Symptoms of anal and rectal fistulas, if caused by an abscess, include constant throbbing pain and swelling in the rectal area. Pus is sometimes visible draining from the fistula opening on the skin. Many individuals have a fever resulting from the infection causing the abscess.

Female Urogenital Fistula - Risks & Causes

The causes and symptoms of fistulas vary, depending on their location. Anal and rectal fistulas are usually caused by an abscess. Vaginal fistulas may be caused by infection and trauma during childbirth. In the United States, urogenital fistulas are less commonly caused by obstetric trauma and are more likely to be a result of surgical complications from a procedures such as hysterectomy, or from pelvic abscesses or other pelvic inflammatory conditions.

Female Urogenital Fistula

The most common type of fistula in these systems is a vesicovaginal fistula, in which the woman's vagina is connected to the urinary bladder. This causes leakage of urine from the vagina and results in frequent vaginal and bladder infections. Fistulas may also develop between the vagina and the large intestine (an enterovaginal fistula) or rectum (rectovaginal fistula) so that feces leak from the vagina.

Brady Urologic Health Center

The Brady Urologic Health Center is located within an 8,000 square foot suite on the ninth floor of the Starr Pavilion at Weill Cornell Medicine/New York-Presbyterian Hospital and is composed of a close-knit team of physicians, working together to provide treatment for the broad spectrum of urologic conditions.

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