Presentation

The most common time before presentation of VVF is 7 to 10 days after surgery,but it can range from immediate up to 6 weeks. If associated with hysterectomy, a VVF can present in the immediate postoperative phase, upon catheter removal, if unrecognized direct trauma to the bladder occurred intraoperatively, or after 10 to 14 days as a result of a hematoma or stitch abscess at the vaginal cuff. Postradiation VVF takes months to years to develop. Usually the patient presents with continuous leakage of urine. This can be mistaken from early postoperative discharge, leading to more frustration of the patient and delayed diagnosis. If there is intraabdominal urine extravasation,the patient will present with abdominal pain and ileus.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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