Fistulas and Diverticulum

Fistulas (abnormal connections between organs such as a vesicovaginal fistula) and urethral or bladder diverticula (pouches that form in the urinary tract) are less common but significant conditions that can cause continuous leakage, recurrent infections, pain, and other disruptive symptoms. These conditions typically require specialized diagnosis and definitive care.

Causes & Risk Factors:

Fistulas may result from childbirth trauma, surgical injury, radiation therapy, severe infection, or inflammatory disease. Diverticula can arise from chronic obstruction, repeated infections, or congenital factors. Accurate diagnosis is essential to guide effective treatment.

Treatment Options:

At Anna Pelvic Health Center, management begins with careful imaging and endoscopic evaluation as needed to locate and characterize the abnormality. Many fistulas and symptomatic diverticula are best treated surgically by experienced specialists; pre- and post-operative care, including infection control and functional evaluation, are integral to success. Conservative measures are occasionally appropriate for very small, asymptomatic lesions.

What to Expect:

Expect a detailed workup including imaging and possible cystoscopy, followed by a clear discussion of surgical and non-surgical options. Surgical repair is often successful when performed by experienced surgeons, and Dr. Hamade will coordinate multidisciplinary care to optimize outcomes and recovery.

If you suspect a fistula or diverticulum, schedule a specialist evaluation with Dr. Sara Hamade at Anna Pelvic Health Center.