Demonstration of Fistulas by Vaginography

Management of diverticular fistulae to the female genital tract

“…Vaginography is another established radiographic technique to diagnose fistula to the vagina [12,13]. In the present study, only four of the patients had a vaginography and two were positive.…”

CT vaginography: a new CT technique for imaging of upper and middle vaginal fistulas

“…Vaginography is a conventional radiographic technique for the detection of vaginal fistulas, first described in the early 60s. 2 It consists of a fluoroscopic examination of the pelvis after iodine contrast opacification of the vagina with relative pressure obtained by balloon blockage of the vaginal introitus. This technique provides excellent functional information.…”

“…The technique of obstruction of the vaginal introitus and injection of contrast under pressure is detailed by several authors in the second half of the past century. 2,9,[12][13][14][15] Obstruction is obtained by inflation of the balloon of a Foley catheter in the vagina. The catheter is subsequently pulled out by the operator and gets stuck in the vulva, as the patient is instructed to cross her legs after the insertion.…”

“…This technique included obstruction of vaginal introitus intravaginal instillation of iodine contrast media and conventional radiological images of the pelvis. 2,3 METHODS AND MATERIALS With the evolution of radiological techniques, MRI and CT 4 have both been increasingly used for the purpose of diagnosis of vaginal fistulas. MRI can provide anatomical information on potentially functional fistulas mainly using heavily T 2 weighted sequences that allow detection of the presence of fluid in the lumen of the fistula.…”

Apexcardiography-Reply

“…[2][3][4][5] Although this patient has had occasional episodes of gas expulsion from the vagina, I expect that the knee-chest position will make the symptom more obvious if there is a fistula. In such instance, vaginography is a successful diagnostic tool and the procedure is easy to per-form.…”