CAMRT Radiography Practice Exam

Where is a vesicovaginal fistula located?

1. Between the uterus and rectum

2. Between the bladder and vagina

3. Between the bladder and rectum

4. Between the uterus and vagina

The correct answer is: Between the bladder and vagina

A vesicovaginal fistula is an abnormal connection between the bladder and the vagina, which typically occurs as a result of surgical complications, pelvic malignancies, or prolonged labor during childbirth. This condition leads to the involuntary leakage of urine into the vagina, significantly affecting a patient's quality of life. Understanding the anatomy is crucial in identifying the location of various fistulas. In this case, a vesicovaginal fistula specifically involves the bladder (which stores urine) and the vagina (part of the female reproductive tract), making option B the accurate choice. Other types of fistulas exist, but they connect different structures, such as the uterus and rectum or the bladder and rectum, which do not describe a vesicovaginal fistula.