Fistulas Treatment in Naples, FL
At Florida Bladder Institute in Naples, we understand that fistulas can be a challenging and sensitive condition. Our urogynecology team evaluates bladder and bowel fistulas and builds a personalized plan to help you find relief.
Table of Contents
What Is a Fistula?
A fistula is an abnormal connection between two organs or between an organ and the skin. In urogynecology, fistulas most often form between the bladder and vagina (vesicovaginal), the urethra and vagina (urethrovaginal), or the rectum and vagina (rectovaginal). This opening can allow urine, gas, or stool to leak in ways that are difficult to control and can affect comfort, hygiene, and quality of life.
Common Signs and Symptoms
- Leakage of urine from the vagina.
- Passage of gas or stool through the vagina.
- Recurrent urinary tract infections.
- Persistent vaginal discharge or irritation.
- Pelvic discomfort or a feeling of wetness that does not resolve.
What Causes Fistulas?
Fistulas can develop when tissue between nearby organs is injured or does not heal as expected. Common causes include childbirth injury, prior pelvic or gynecologic surgery, radiation therapy, infection, or inflammatory conditions. A thorough evaluation helps identify the type and location of the fistula so care can be tailored.
Available Treatment Options
- A detailed pelvic exam and medical history to identify the fistula type and location.
- In-office diagnostic testing, including cystoscopy when a bladder fistula is suspected.
- Supportive care to protect skin and reduce infection while a treatment plan is developed.
- PRP (Platelet-Rich Plasma) Therapy: An emerging regenerative treatment that uses concentrated platelets from your own blood and is being investigated for improving urethral function and certain types of urinary incontinence
- Individualized surgical repair when appropriate, based on the size and location of the fistula.
- Coordination with pelvic reconstructive care for more complex cases.
- Follow-up visits to confirm healing and restore comfort and continence.
Who Should Seek Treatment?
- Anyone leaking urine, gas, or stool from the vagina.
- Women with recurrent urinary tract infections after childbirth or pelvic surgery.
- Those with persistent vaginal discharge or irritation that does not improve.
- Patients who were told they may have a fistula and need a specialist evaluation.
- Anyone whose daily life, hygiene, or confidence is affected by unexplained leakage.
Check Your Insurance Coverage
Benefits of Professional Treatment
Restore Continence
The primary goal of treatment is to close the abnormal connection so urine or stool stays where it belongs. Repair can stop leakage and make daily routines more comfortable.
Improve Your Quality of Life
Addressing a fistula can help you return to social, professional, and personal activities without the constant worry of leakage or odor.
Restore Confidence and Dignity
Living without unexpected leakage restores self-confidence and personal dignity. You can feel more comfortable in your body and in everyday situations.
Receive a Personalized Care Plan
Professional evaluation identifies the specific type and location of the fistula. This allows for a tailored treatment plan rather than a one-size-fits-all approach.
Support Healing and Skin Health
Effective treatment reduces irritation, infection risk, and skin breakdown associated with ongoing leakage, supporting healthier healing.
Why Choose Our Urogynecology TeamÂ
At Florida Bladder Institute, our team-based approach leverages the specialized training of our urogynecologists to assess bladder and bowel fistulas and guide you through diagnosis and treatment with compassion and clarity.
Check Your Insurance Coverage
Testimonials
“Dr. Gauta is the best! He is a very caring and compassionate doctor. He takes his time to explain everything to you and makes you feel very comfortable. His staff is also amazing! They are all very friendly and helpful. I would highly recommend Dr. Gauta to anyone who is looking for a great urogynecologist.”
— Patient Review
Meet Our Providers
You Don't Have to
Suffer in Silence
Suffer in Silence
Pelvic health issues are common, but they don’t have to be
your new normal. You deserve to feel confident,
comfortable, and in control. We’re here to listen, find the
root cause, and help you get back to living a life you love.
