Fistulogram- Report template female

─── 🧾Fistulogram Female ───

Templates

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COUNSELING DAY

📄 Normal Stady

BASED ON SITE OF INTERNAL OPENING

📄 Rectovaginal fistula – rectum → vagina

📄 Anovaginal fistula – anal canal → vagina

📄 Vesicovaginal fistula – bladder → vagina

📄 Ureterovaginal fistula – ureter → vagina

📄 Enterovaginal fistula – bowel → vagina

📄 Rectocutaneous fistula – rectum → skin

📄 Anocutaneous fistula – anal canal → skin

📄 Enterocutaneous fistula – small intestine → skin

📄 Perianal fistula – inter / trans / supra / extra-sphincteric

BASED ON TRACT PATTERN

📄 Single simple fistula

📄 Multiple fistulous tracts

📄 Branching / complex fistula

📄 Blind-ending sinus tract

BASED ON COMPLICATIONS

📄 Fistula with abscess cavity

📄 Fistula with active contrast leak

📄 Fistula with secondary tract formation

📄 Fistula communicating with adjacent organ

BASED ON ETIOLOGY (SUGGESTED)

📄 Post-obstetric fistula

📄 Post-surgical fistula

📄 Inflammatory fistula

📄 Infective fistula

📄 Rectal Fistula

📄 Pere anal Fistula

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Sex: Female Male Other

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