McConnachie reported a classification for genito-urinary fistulas in women. The fistula category correlates with the outcome following surgical repair.
Outcome of surgery is based on closure of the fistula and presence of urinary continence.
Elements:
(1) grade
(2) type
Parameters for grade:
(1) fibrosis and other features of vaginal tissue
(2) urethral sphincter
(2) repeat repair
(3) operable per vagina
|
Fibrosis |
Urethral Sphincter |
Previous Repair |
Operable Per Vagina |
Grade |
|
none |
normal |
no |
yes |
I |
|
mild |
normal |
no |
yes |
II |
|
moderate to severe |
involved |
no |
yes |
III |
|
NA |
NA |
yes |
yes |
IV |
|
NA |
NA |
NA |
no |
V |
Parameters for type:
(1) diameter
(2) rectovaginal fistula
|
Diameter |
Rectovaginal Fistula |
Type |
|
< 1 cm |
absent |
A |
|
1 to 1.99 cm |
absent |
B |
|
>= 2 cm |
absent |
C |
|
NA |
present |
D |
Specialty: Obstetrics & Gynecology
ICD-10: ,
