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External fistula and internal fistula are classifications based on the location of the fistula in relation to the body's surface. External Fistula: Definition: A fistula that connects an internal organ or cavity to the skin surface. Examples: Enterocutaneous fistula (connects small bowel to skin) Colocutaneous fistula (connects colon to skin) Vesicocutaneous fistula (connects bladder to skin) Symptoms: Drainage of fluid or gas from the skin Skin irritation and excoriation Infection risk Treatment: Surgical repair Wound care and management Antibiotics for infection Internal Fistula: Definition: A fistula that connects two internal organs or cavities without involving the skin. Examples: Enterocolic fistula (connects small bowel to colon) Vesicovaginal fistula (connects bladder to vagina) Rectovaginal fistula (connects rectum to vagina) Symptoms: Abdominal pain Diarrhea or constipation Urinary incontinence or retention Treatment: Surgical repair Endoscopic procedures (e.g., stenting) Medical management (e.g., antibiotics, bowel rest) It's important to note that both external and internal fistulas can have significant impact on quality of life and require prompt medical attention to prevent complications. #Fistula