Certified Wound Ostomy Nurse (CWON) Practice Test

What is a vesico fistula?

1. A fistula connecting the colon to the skin

2. A fistula connecting the bowel to the bladder

3. A fistula connecting the bladder to the skin

4. A fistula connecting the vagina to the rectum

The correct answer is: A fistula connecting the bladder to the skin

A vesicofistula specifically refers to an abnormal connection between the bladder and another structure, which in this case is the skin. This condition can occur due to various factors, including surgical complications, infections, or trauma, which can cause urine to leak out of the bladder and into the surrounding tissues, ultimately leading to a fistulous tract that opens onto the skin. When examining the structures involved, a vesicofistula allows for direct communication between the bladder and the exterior of the body. Understanding this anatomy is critical in nursing practice and wound care, especially when caring for patients who may have undergone surgical procedures affecting the urinary tract. The other options describe different types of fistulas that involve other organs: - A connection from the colon to the skin refers to a colostomy or fecal fistula. - A bowel to bladder connection describes an enterovesical fistula. - A connection between the vagina and rectum refers to a rectovaginal fistula. Understanding the specifics of each type is crucial for accurate diagnosis, treatment planning, and patient education in wound and ostomy care.