questionsmedicales.fr
États, signes et symptômes pathologiques
États anatomopathologiques
Fistule
Fistule urinaire
Fistule urinaire : Questions médicales fréquentes
{
"@context": "https://schema.org",
"@graph": [
{
"@type": "MedicalWebPage",
"name": "Fistule urinaire : Questions médicales les plus fréquentes",
"headline": "Fistule urinaire : Comprendre les symptômes, diagnostics et traitements",
"description": "Guide complet et accessible sur les Fistule urinaire : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.",
"datePublished": "2024-01-27",
"dateModified": "2025-04-21",
"inLanguage": "fr",
"medicalAudience": [
{
"@type": "MedicalAudience",
"name": "Grand public",
"audienceType": "Patient",
"healthCondition": {
"@type": "MedicalCondition",
"name": "Fistule urinaire"
},
"suggestedMinAge": 18,
"suggestedGender": "unisex"
},
{
"@type": "MedicalAudience",
"name": "Médecins",
"audienceType": "Physician",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "France"
}
},
{
"@type": "MedicalAudience",
"name": "Chercheurs",
"audienceType": "Researcher",
"geographicArea": {
"@type": "AdministrativeArea",
"name": "International"
}
}
],
"reviewedBy": {
"@type": "Person",
"name": "Dr Olivier Menir",
"jobTitle": "Expert en Médecine",
"description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale",
"url": "/static/pages/docteur-olivier-menir.html",
"alumniOf": {
"@type": "EducationalOrganization",
"name": "Université Paris Descartes"
}
},
"isPartOf": {
"@type": "MedicalWebPage",
"name": "Fistule",
"url": "https://questionsmedicales.fr/mesh/D005402",
"about": {
"@type": "MedicalCondition",
"name": "Fistule",
"code": {
"@type": "MedicalCode",
"code": "D005402",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "C23.300.575"
}
}
},
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Fistule vésicale",
"alternateName": "Urinary Bladder Fistula",
"url": "https://questionsmedicales.fr/mesh/D001747",
"about": {
"@type": "MedicalCondition",
"name": "Fistule vésicale",
"code": {
"@type": "MedicalCode",
"code": "D001747",
"codingSystem": "MeSH"
},
"identifier": {
"@type": "PropertyValue",
"propertyID": "MeSH Tree",
"value": "C23.300.575.825.250"
}
}
}
],
"about": {
"@type": "MedicalCondition",
"name": "Fistule urinaire",
"alternateName": "Urinary Fistula",
"code": {
"@type": "MedicalCode",
"code": "D014548",
"codingSystem": "MeSH"
}
},
"author": [
{
"@type": "Person",
"name": "Ji Hoon Shin",
"url": "https://questionsmedicales.fr/author/Ji%20Hoon%20Shin",
"affiliation": {
"@type": "Organization",
"name": "Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Chin; Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil 88, Songpa-Gu, Seoul 05505, Korea. Electronic address: jhshin@amc.seoul.kr."
}
},
{
"@type": "Person",
"name": "Hee Ho Chu",
"url": "https://questionsmedicales.fr/author/Hee%20Ho%20Chu",
"affiliation": {
"@type": "Organization",
"name": "Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Olympic-ro 43 gil 88, Songpa-Gu, Seoul 05505, Korea."
}
},
{
"@type": "Person",
"name": "Rahel Nardos",
"url": "https://questionsmedicales.fr/author/Rahel%20Nardos",
"affiliation": {
"@type": "Organization",
"name": "Worldwide Fistula Fund, Oregon Health & Science University/Kaiser Permanente, Mail code: L466, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. nardosr@ohsu.edu."
}
},
{
"@type": "Person",
"name": "Andrew C Peterson",
"url": "https://questionsmedicales.fr/author/Andrew%20C%20Peterson",
"affiliation": {
"@type": "Organization",
"name": "Division of Urology, Duke University Medical Center, Durham, NC."
}
},
{
"@type": "Person",
"name": "Jun Qian",
"url": "https://questionsmedicales.fr/author/Jun%20Qian",
"affiliation": {
"@type": "Organization",
"name": "Institute of Urology, Hexi University, Zhangye, Gansu 734000, P.R. China."
}
}
],
"citation": [
{
"@type": "ScholarlyArticle",
"name": "Biologic adjuvant urethral coverings for single-stage primary hypospadias repairs: A systematic review and pooled proportional meta-analysis of postoperative urethrocutaneous fistulas.",
"datePublished": "2022-08-20",
"url": "https://questionsmedicales.fr/article/36085187",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.jpurol.2022.08.015"
}
},
{
"@type": "ScholarlyArticle",
"name": "Robotic management of urinary fistula.",
"datePublished": "2024-03-02",
"url": "https://questionsmedicales.fr/article/39139533",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1016/j.ajur.2023.11.002"
}
},
{
"@type": "ScholarlyArticle",
"name": "Conservative treatment of urinary fistula: Case report.",
"datePublished": "2022-06-06",
"url": "https://questionsmedicales.fr/article/35837074",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.3892/etm.2022.11418"
}
},
{
"@type": "ScholarlyArticle",
"name": "Iatrogenic enterovesical fistula secondary to a permanent urinary catheter.",
"datePublished": "2023-12-06",
"url": "https://questionsmedicales.fr/article/38056931",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1136/bcr-2023-257476"
}
},
{
"@type": "ScholarlyArticle",
"name": "A Rare Cause of Urinary Incontinence: Vesicouterine Fistula-A Case Report.",
"datePublished": "2024-01-04",
"url": "https://questionsmedicales.fr/article/38249937",
"identifier": {
"@type": "PropertyValue",
"propertyID": "DOI",
"value": "10.1089/whr.2023.0121"
}
}
],
"breadcrumb": {
"@type": "BreadcrumbList",
"itemListElement": [
{
"@type": "ListItem",
"position": 1,
"name": "questionsmedicales.fr",
"item": "https://questionsmedicales.fr"
},
{
"@type": "ListItem",
"position": 2,
"name": "États, signes et symptômes pathologiques",
"item": "https://questionsmedicales.fr/mesh/D013568"
},
{
"@type": "ListItem",
"position": 3,
"name": "États anatomopathologiques",
"item": "https://questionsmedicales.fr/mesh/D020763"
},
{
"@type": "ListItem",
"position": 4,
"name": "Fistule",
"item": "https://questionsmedicales.fr/mesh/D005402"
},
{
"@type": "ListItem",
"position": 5,
"name": "Fistule urinaire",
"item": "https://questionsmedicales.fr/mesh/D014548"
}
]
}
},
{
"@type": "MedicalWebPage",
"name": "Article complet : Fistule urinaire - Questions et réponses",
"headline": "Questions et réponses médicales fréquentes sur Fistule urinaire",
"description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.",
"datePublished": "2025-05-01",
"inLanguage": "fr",
"hasPart": [
{
"@type": "MedicalWebPage",
"name": "Diagnostic",
"headline": "Diagnostic sur Fistule urinaire",
"description": "Comment diagnostiquer une fistule urinaire ?\nQuels examens sont utilisés pour le diagnostic ?\nQuels signes cliniques indiquent une fistule ?\nPeut-on diagnostiquer une fistule par cystoscopie ?\nLes tests urinaires aident-ils au diagnostic ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-diagnostic"
},
{
"@type": "MedicalWebPage",
"name": "Symptômes",
"headline": "Symptômes sur Fistule urinaire",
"description": "Quels sont les symptômes d'une fistule urinaire ?\nLa douleur est-elle un symptôme courant ?\nY a-t-il des symptômes associés à l'infection ?\nLes fuites urinaires sont-elles constantes ?\nDes changements dans l'urine sont-ils possibles ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-symptômes"
},
{
"@type": "MedicalWebPage",
"name": "Prévention",
"headline": "Prévention sur Fistule urinaire",
"description": "Comment prévenir les fistules urinaires ?\nLes soins post-opératoires aident-ils à prévenir ?\nL'hydratation joue-t-elle un rôle ?\nLes examens réguliers sont-ils importants ?\nLes habitudes alimentaires influencent-elles ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-prévention"
},
{
"@type": "MedicalWebPage",
"name": "Traitements",
"headline": "Traitements sur Fistule urinaire",
"description": "Quels traitements sont disponibles pour une fistule urinaire ?\nLa chirurgie est-elle toujours nécessaire ?\nQuels soins de la peau sont recommandés ?\nDes médicaments peuvent-ils aider ?\nQuelles sont les options non chirurgicales ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-traitements"
},
{
"@type": "MedicalWebPage",
"name": "Complications",
"headline": "Complications sur Fistule urinaire",
"description": "Quelles complications peuvent survenir ?\nLes fistules peuvent-elles causer des problèmes rénaux ?\nY a-t-il un risque de cancer associé ?\nLes complications psychologiques sont-elles possibles ?\nComment gérer les complications ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-complications"
},
{
"@type": "MedicalWebPage",
"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Fistule urinaire",
"description": "Quels sont les facteurs de risque de fistule urinaire ?\nLes femmes sont-elles plus à risque ?\nLes maladies chroniques augmentent-elles le risque ?\nLes infections urinaires fréquentes sont-elles un facteur ?\nLes antécédents chirurgicaux influencent-ils le risque ?",
"url": "https://questionsmedicales.fr/mesh/D014548?page=4#section-facteurs de risque"
}
]
},
{
"@type": "FAQPage",
"mainEntity": [
{
"@type": "Question",
"name": "Comment diagnostiquer une fistule urinaire ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic se fait par examen clinique, imageries et tests de fuite urinaire."
}
},
{
"@type": "Question",
"name": "Quels examens sont utilisés pour le diagnostic ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les cystographies, échographies et IRM sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une fistule ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une fuite d'urine persistante et des infections urinaires fréquentes sont des signes."
}
},
{
"@type": "Question",
"name": "Peut-on diagnostiquer une fistule par cystoscopie ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la cystoscopie permet de visualiser directement la fistule dans la vessie."
}
},
{
"@type": "Question",
"name": "Les tests urinaires aident-ils au diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les tests urinaires peuvent révéler des anomalies suggérant une fistule."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes d'une fistule urinaire ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent fuite d'urine, irritation cutanée et infections urinaires."
}
},
{
"@type": "Question",
"name": "La douleur est-elle un symptôme courant ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur peut être présente, surtout en cas d'infection ou d'irritation."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes associés à l'infection ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, fièvre, malaise général et douleurs abdominales peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les fuites urinaires sont-elles constantes ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent être continues ou intermittentes, selon la gravité de la fistule."
}
},
{
"@type": "Question",
"name": "Des changements dans l'urine sont-ils possibles ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'urine peut être trouble ou avoir une odeur désagréable en cas d'infection."
}
},
{
"@type": "Question",
"name": "Comment prévenir les fistules urinaires ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les traumatismes pelviens et traiter rapidement les infections urinaires."
}
},
{
"@type": "Question",
"name": "Les soins post-opératoires aident-ils à prévenir ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un bon suivi post-opératoire réduit le risque de complications et de fistules."
}
},
{
"@type": "Question",
"name": "L'hydratation joue-t-elle un rôle ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne hydratation peut aider à prévenir les infections urinaires, réduisant le risque."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils importants ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers permettent de détecter précocement des problèmes urinaires."
}
},
{
"@type": "Question",
"name": "Les habitudes alimentaires influencent-elles ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation équilibrée peut renforcer le système immunitaire et prévenir les infections."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour une fistule urinaire ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la chirurgie, les soins de la peau et parfois des médicaments."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle toujours nécessaire ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, certaines fistules peuvent se fermer spontanément, mais la chirurgie est souvent requise."
}
},
{
"@type": "Question",
"name": "Quels soins de la peau sont recommandés ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Utiliser des barrières cutanées et garder la zone propre pour prévenir les irritations."
}
},
{
"@type": "Question",
"name": "Des médicaments peuvent-ils aider ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antibiotiques peuvent être prescrits pour traiter les infections associées."
}
},
{
"@type": "Question",
"name": "Quelles sont les options non chirurgicales ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les options incluent des dispositifs de drainage et des soins conservateurs."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent infections, irritations cutanées et déshydratation."
}
},
{
"@type": "Question",
"name": "Les fistules peuvent-elles causer des problèmes rénaux ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des infections récurrentes peuvent affecter la fonction rénale à long terme."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de cancer associé ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le risque de cancer est faible, mais une irritation chronique peut augmenter ce risque."
}
},
{
"@type": "Question",
"name": "Les complications psychologiques sont-elles possibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les fistules peuvent entraîner des problèmes d'estime de soi et d'anxiété."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et des soins appropriés sont essentiels pour gérer les complications."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de fistule urinaire ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent les interventions chirurgicales, les traumatismes et les infections."
}
},
{
"@type": "Question",
"name": "Les femmes sont-elles plus à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les femmes peuvent être plus à risque en raison de complications lors de l'accouchement."
}
},
{
"@type": "Question",
"name": "Les maladies chroniques augmentent-elles le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maladies comme le diabète peuvent augmenter le risque de fistules urinaires."
}
},
{
"@type": "Question",
"name": "Les infections urinaires fréquentes sont-elles un facteur ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les infections urinaires récurrentes peuvent favoriser le développement de fistules."
}
},
{
"@type": "Question",
"name": "Les antécédents chirurgicaux influencent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents de chirurgie pelvienne augmentent le risque de fistules urinaires."
}
}
]
}
]
}
The use of barrier layers between the neourethra and skin is associated with lower rates of post-operative urethrocutaneous fistula (UCF) following hypospadias surgery. Recent studies have evaluated t...
To assess the effect of BAUCs on the rate of UCF following single-stage primary hypospadias repair....
We conducted a systematic review of studies reporting the rate of postoperative UCF in pediatric patients undergoing single-stage, primary hypospadias repairs using either AM, TA, or PRP/PRF as a laye...
10 studies were included in our review. The meta-analysis included 280 patients from 7 studies who underwent hypospadias repairs with BAUCs. The pooled incidence of UCF was 10% (95% CI 6-14%). Mean fo...
The use of BAUCs was associated with decreased rates of post-operative UCF in single-stage primary hypospadias repairs and may be most beneficial in more severe cases and when used in addition to loca...
The meta-analysis herein suggests that using BAUCs may reduce UCF rates following hypospadias surgery. Rigorous prospective evaluation is needed to validate this benefit....
To highlight critical preoperative and intraoperative considerations in approaching fistula repair robotically....
A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary fistulae....
Fistulae of the genitourinary tract can be a challenging dilemma for urologists, as definitive management may require surgical intervention. Pathogenesis of both enteric and non-enteric fistulae are m...
Robotic management of complex urinary fistulae is feasible in expert hands; more studies are needed to define its role in the treatment algorithm of this devastating conditions....
Radical cystectomy is the gold standard treatment for muscular invasive bladder cancer. Bricker surgery is the most common technique used for urinary diversion; however, troublesome complications such...
An enterovesical fistula is a rare entity resulting from inflammatory, neoplastic and iatrogenic processes. It can manifest clinically as pneumaturia and recurrent urinary tract infections. Its diagno...
Vesicouterine fistula is a rare complication occurring mainly after cesarean sections. We present here a particular case of vesicouterine fistula (VUF) whose only symptom was urinary incontinence. We ...
Complications from radical hysterectomy in low-income countries (LICs) are largely unreported in the medical literature. We report on three cases of urinary tract reconstruction performed at the Fistu...
Although uncommon, colovesical fistula creates significant morbidity, and many patients wait months to receive a correct diagnosis and treatment. Most cases are in older men who have diverticular dise...
Fistula formation between the iliac artery and an ileal conduit is a rare pathology. A 39-year-old female patient presented with intermittent hematuria from her ileal conduit for 4 days, which progres...
Pubosymphyseal urinary fistula (PUF) is a rare condition that involves an abnormal connection between the urinary bladder and the pubic bone. It can occur after trauma, radiation therapy, or surgery t...
Postoperative urinary retention (POUR) is a common complication characterized by fullness of the bladder without the ability to urinate. Its etiology in proctology surgery is multifactorial. This stud...
We retrospectively reviewed the clinical records of 511 patients who underwent radical surgery for anal fistula at the China-Japan Friendship Hospital from August 2022 to December 2023. Risk factors f...
POUR occurred in 57 patients (11.2%) within 48 h post-surgery, and males were predominantly affected (84.4%). Independent risk factors included a history of urological disease (OR = 6.048; p < 0.001),...
POUR is a significant complication post-radical surgery for anal fistula, particularly among patients with urological disease, high anal fistula, and incisions at position 1. Surgeons should pay more ...