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

Which type of fistula is characterized by having no abscess and direct contact with the skin?

1. complex fistula

2. simple fistula

3. recto fistula

4. vesico fistula

The correct answer is: simple fistula

A simple fistula is characterized by a straightforward anatomical structure, typically involving a direct connection between an internal organ and the skin without the presence of an abscess. This type of fistula allows for a relatively uncomplicated passageway for fluids or substances to leak from the internal organ to the surface of the skin. In contrast, more complex types of fistulas, such as a complex fistula, often involve additional anatomical challenges or complications, such as multiple tracts or the presence of abscesses, which complicates treatment and management. Similarly, fistulas like recto fistulas and vesico fistulas involve specific organs and may have different implications for diagnosis and care, but the defining feature of a simple fistula remains its lack of abscess and its direct skin contact. Understanding the nature of these fistulas is crucial for effective assessment and appropriate intervention, as the management strategies can vary significantly between simple and more complex cases.