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Заболевание лечит акушер-гинеколог [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/).\n\n\n\n## Причины\nНекоторые причины пузырно-влагалищного свища: \n* **Осложнения после операций на органах малого таза** [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Чаще всего сообщение возникает после удаления матки (гистерэктомии), особенно если вмешательство проходило на фоне воспаления, спаек или изменённой анатомии [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Лучевая терапия** — облучение области малого таза может повреждать ткани, приводя к их отмиранию и образованию свищевого хода [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Тяжёлые или осложнённые роды** — особенно если были использованы щипцы, вакуум-экстракция или проводились обширные разрезы [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Онкологические заболевания** — опухоли тела и шейки матки, мочевого пузыря могут нарушать структуру тканей [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Травмы** — в том числе полученные при несчастных случаях, под действием инородных тел [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Инфекции и хронические воспаления** — реже, но также могут привести к нарушению целостности тканей [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/).\n\n## Симптомы\nГлавный симптом — **непроизвольное подтекание мочи из влагалища**, не связанное с обычным мочеиспусканием [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Моча вытекает постоянно или периодически, особенно при смене положения тела [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n\nПроявления болезни зависят от размеров и расположения свища [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Некоторые другие признаки: \n* чувство влажности и раздражения в области наружных половых органов [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/); \n* неприятный запах из-за контакта мочи с кожей, бельём [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/); \n* отсутствие позывов к мочеиспусканию или их значительное уменьшение [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/); \n* появление водянистых или кровянистых выделений (если свищ связан с полостью матки) [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/).\n\n## Диагностика\nДиагноз «пузырно-влагалищный свищ» устанавливается на основании жалоб женщины, осмотра и дополнительных исследований [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Некоторые методы диагностики: \n* **Гинекологический осмотр** — проводится в кресле, помогает выявить свищевой ход, особенно если он крупный [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n* **Проба с окрашенной жидкостью** — в мочевой пузырь вводят раствор с красителем (например, метиленовый синий) [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Если он появляется во влагалище, это подтверждает наличие свища [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/).\n\n## Лечение\nЛечение пузырно-влагалищного свища направлено на устранение патологического соединения между органами и восстановление нормального оттока мочи [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). В большинстве случаев применяется **хирургическое вмешательство** [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Основной способ устранения свища — **фистулопластика** [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). Метод и доступ выбирают в зависимости от размеров хода, состояния тканей и вовлечённых органов [1](https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/). \n\n**Народные методы** для лечения свищей между мочевым пузырём и влагалищем не рекомендуются [2](https://www.sm-eko.ru/diseases/puzyrno-vlagalishchnyj-svishch/).","linksData":[{"sourceId":1,"url":"https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/","shownUrl":"https://BestClinic.ru/diseases/puzyrno-vlagalishchnyy-svishch/","title":"Пузырно-влагалищный свищ: причины, симптомы и лечение в Москве | «Бест Клиник»","shortUrl":"BestClinic.ru","isTranslated":false,"description":"","greenUrl":"BestClinic.ru"},{"sourceId":2,"url":"https://www.sm-eko.ru/diseases/puzyrno-vlagalishchnyj-svishch/","shownUrl":"https://www.sm-eko.ru/diseases/puzyrno-vlagalishchnyj-svishch/","title":"Пузырно-влагалищный свищ: что это? 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