Goh reported classifications for fistulas of the female genital tract. These can help to standardize the description and management of affected patients. The author is from the Royal Women’s Hospital in Carlton, Victoria, Australia.
Parameters:
(1) distance from distal edge of fistula to external urethral meatus, in cm
(2) maximum diameter of the fistula in cm
(3) additional features
Distance from External Meatus
Type
> 3.5 cm
1
2.5 to 3.5 cm
2
1.5 to 2.49 cm
3
< 1.5 cm
4
Maximum Diameter of the Fistula
Size
< 1.5 cm
a
1.5 to 3.0 cm
b
> 3.0 cm
c
Additional Features
Code
none or mild fibrosis, vaginal length > 6 cm, normal capacity
i
moderate or severe fibrosis, reduced vaginal length, and/or reduced capacity
