Woman cuts off 1cm of her “little girl” inside, has to endure constant vaginal odor | Life – Entertainment

In line with data from the 108 Central Army Hospital (Hanoi), docs have simply efficiently handled Ms. NHH (40 years outdated, in Hai Duong), who was hospitalized with a situation of vaginal discharge.

In line with Ms. H, earlier than coming to 108 Army Central Hospital, she went to a lower-level hospital to have surgical procedure to take away the Batholin gland (this can be a small gland about 1cm, spherical, positioned underneath the pores and skin on each side of the vagina) after which there was a situation of fecal fluid flowing by the vagina. After that, regardless of many therapies, there was no enchancment, inflicting the life and actions of the feminine affected person to be significantly disrupted as a result of the non-public space always emitted odor.

Dr. Ho Huu An – Division of Anorectal, Rectal and Pelvic Ground Surgical procedure mentioned that after receiving and analyzing, the physician found a big communication gap between the vagina and rectum on the 11 o’clock place of the anal canal. The affected person was identified with a vaginal rectal fistula after surgical procedure to take away the Batholin gland. Ms. H was then handled with anti-inflammation akin to antibiotics, fasting, intravenous vitamin, enemas, and cleansing the perineum space… earlier than surgical procedure.

The feminine affected person is secure after 6 days of surgical procedure. Photograph: 108 Army Central Hospital.

After 2 weeks of therapy, Ms. H underwent surgical procedure to shut the rectovaginal fistula with Martius flap switch and ileal drainage. After the perineal incision healed properly, the anal sphincter muscle tone and reflexes had been regular, the affected person underwent surgical procedure to shut the ileal drainage. After 6 days of surgical procedure, Ms. H’s well being was secure, she had regular bowel actions and was discharged from the hospital.

Dr. Ho Huu An mentioned that rectovaginal fistula is an especially complicated downside and infrequently encountered by ladies, this can be a problem even for pelvic ground surgeons. To diagnose rectovaginal fistula, docs will depend on the affected person’s medical historical past and look at the pelvic ground after the affected person has signs of stool, fuel or smelly vaginal discharge, or has different signs akin to ache throughout intercourse, perineal ache and recurrent vaginal infections.

The most typical reason for recto-vaginal fistula worldwide remains to be obstetric trauma. As well as, inflammatory bowel illness and surgical trauma are widespread causes. It could possibly additionally happen in sufferers after pelvic radiation remedy for some illnesses akin to cervical and rectal most cancers.

In case of anorectal fistula, the therapy remains to be surgical procedure. Photograph: 108 Central Army Hospital.

The reason for post-operative trauma is usually seen after sufferers bear procedures and surgical procedures akin to: posterior vaginal surgical procedure, perineal or anterior rectal surgical procedure, vaginal hysterectomy, rectal prolapse surgical procedure, hemorrhoidectomy, native rectal tumor resection and low anterior rectal resection.

For therapy, Dr. An mentioned that relying on the extent of harm to the fistula, there shall be completely different therapy strategies akin to conservative therapy or surgical intervention. Surgical procedure for recto-vaginal fistula requires an skilled physician to offer acceptable strategies for every completely different damage to make sure the best success price.

By way of the above case, Dr. An recommends that if the above signs seem, you must go to a specialised facility with trendy tools for correct prognosis and well timed therapy.