Symptoms of Vesicovaginal Fistula (VVF)
Vesicovaginal fistula (VVF) is a rare condition where an opening forms between the bladder and the vagina. This causes urine to pass continuously into the vagina, leading to leakage that cannot be controlled.
In the UK, VVF is most often linked to complications after gynaecological surgery (such as hysterectomy).
Key Symptom
- Continuous leakage of urine from the vagina
- Unlike stress incontinence (leaks when coughing or sneezing) or urge incontinence (sudden urge to urinate), leakage with VVF happens all the time.
Other Possible Symptoms
- Ongoing wetness of underwear or pads
- Pooling of urine in the vagina
- Unusual odour
- Irritation or soreness in the vagina
- Repeated urinary tract infections (UTIs)
- Sometimes, pelvic or lower abdominal discomfort
Emotional Impact
Living with VVF can also affect mental health:
- Loss of confidence due to leakage or odour
- Isolation from friends, family, or intimacy
- Anxiety or depression
👉 These feelings are very common — and support is available.
When to Seek Medical Advice
See your GP if you notice constant leakage that does not improve with bladder training or pelvic floor exercises. You may need:
- A dye test or cystoscopy to confirm diagnosis
- Referral to a specialist NHS centre for treatment (surgery is often successful)
Key Takeaway
The hallmark symptom of VVF is constant, uncontrollable leakage of urine from the vagina. If you are experiencing this, know that you are not alone — and help is available.
🌸 VVF Support UK provides information, peer support, and advocacy so that no woman has to face this in silence.