Understanding Vesicovaginal Fistula (VVF) and Why Repair Matters

A vesicovaginal fistula (VVF) is a medical injury that happens when a small opening forms between the bladder and the vagina. This opening allows urine to leak continuously into the vaginal canal, requiring surgical repair.

VVF is rare in the UK, but for the women it affects, it can feel overwhelming and life-changing.

🩺 What Has Happened in a VVF Injury?

• During surgery, radiotherapy, or sometimes a difficult childbirth, the tissue between the bladder and vagina can be damaged.
• This damage creates an abnormal passageway (fistula) that shouldn’t be there.
• Because of this, the bladder can no longer hold urine properly, leading to constant leakage through the vagina.

VVF is not your fault. It is a medical injury that requires specialist care.

🌟 Why Repair is So Important

Living with VVF can affect both physical health and emotional wellbeing.

Physical reasons for repair

• Stops constant leakage and restores bladder control
• Prevents repeated infections that can damage kidneys and bladder
• Protects skin health by stopping ongoing irritation and soreness

Emotional and social reasons for repair

• Reduces stigma and embarrassment linked to leakage and odour
• Restores dignity and confidence in daily life
• Supports relationships and intimacy
• Helps recovery from trauma associated with the injury

💜 The Good News: Repair Works

• In the UK, VVF is usually treated in specialist NHS centres.
• Surgery to close the fistula is highly successful, with most women regaining normal bladder control.
• In very small or early cases, a catheter may allow healing without surgery.
• With the right care, most women go on to live healthy, full lives after repair.

✅ Key Takeaway

A vesicovaginal fistula happens when bladder and vaginal tissue are injured, creating an abnormal connection. This leads to constant leakage — but with specialist treatment, it can be successfully repaired.

🌸 Getting timely treatment is essential not just for physical health, but also for restoring dignity, confidence, and quality of life.

At VVF Support UK, we are here to provide clear information, peer support, and advocacy — so no woman faces VVF alone.