Which condition describes a fistulous connection between the bladder and vagina that allows urine to pass directly into the vagina?

Which condition describes a fistulous connection between the bladder and vagina that allows urine to pass directly into the vagina?

• A. Urethritis
• B. Cystitis
• C. Vesicovaginal Fistula
• D. Neurogenic Bladder

Answer: (C)

A fistula is an abnormal passage between two body surfaces. When that passage links the bladder to the vagina, urine can drain directly into the vaginal canal, bypassing the urethra. This specific condition is called a vesicovaginal fistula, and its hallmark is urine leakage through the vagina, often appearing as continuous or intermittent vaginal wetness, sometimes after pelvic surgery or childbirth. Urethritis involves inflammation of the urethra and presents with symptoms like burning on urination and urgency, but it does not create a tract between the bladder and vagina. Cystitis is inflammation or infection of the bladder, causing frequent, painful urination and urgency, yet it also lacks a direct bladder–vagina connection. Neurogenic bladder refers to impaired bladder function due to nerve problems, leading to incontinence or retention without forming a fistulous tract to the vagina.

A fistula is an abnormal passage between two body surfaces. When that passage links the bladder to the vagina, urine can drain directly into the vaginal canal, bypassing the urethra. This specific condition is called a vesicovaginal fistula, and its hallmark is urine leakage through the vagina, often appearing as continuous or intermittent vaginal wetness, sometimes after pelvic surgery or childbirth.

Urethritis involves inflammation of the urethra and presents with symptoms like burning on urination and urgency, but it does not create a tract between the bladder and vagina. Cystitis is inflammation or infection of the bladder, causing frequent, painful urination and urgency, yet it also lacks a direct bladder–vagina connection. Neurogenic bladder refers to impaired bladder function due to nerve problems, leading to incontinence or retention without forming a fistulous tract to the vagina.