Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What type of fistula directly leads to the vagina?

1. bladder fistula

2. recto fistula

3. vaginal fistula

4. cutaneous fistula

The correct answer is: vaginal fistula

A vaginal fistula is a type of abnormal connection that forms between the vagina and another organ or structure, allowing for the passage of substances that should not normally occur. Specifically, when discussing a vaginal fistula, it refers to the direct opening leading from another organ such as the bladder or rectum into the vagina itself. In the context of this question, a vaginal fistula is the most appropriate answer because it directly connects to the vagina. Understanding the anatomical relationships and implications of these types of fistulas is crucial. For example, a bladder fistula involves an opening between the bladder and another area, typically resulting in urine leakage, but does not directly connect to the vagina. Similarly, a recto fistula refers to a connection involving the rectum, impacting stool passage but unrelated to the vaginal anatomy. A cutaneous fistula, which can occur anywhere on the body, generally arises from the skin and is not specifically linked to the vaginal canal. Given that the question focuses explicitly on a fistula that connects directly to the vagina, a vaginal fistula is the clear answer.