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

Which type of fistula is associated specifically with the skin?

1. vaginal fistula

2. bowel fistula

3. cutaneous fistula

4. recto fistula

The correct answer is: cutaneous fistula

The correct response identifies a cutaneous fistula, which is characterized by its direct connection from an internal organ or cavity to the skin surface. This type of fistula results in an abnormal opening that forms between a hollow organ and the skin, allowing for the passage of fluids or infections. In contrast, a vaginal fistula creates a connection between the vaginal canal and another structure, often affecting the urinary or gastrointestinal tracts but not specifically involving the skin. A bowel fistula generally refers to an abnormal connection between the bowel and another organ or the skin, but it is not solely designated as a skin-specific issue. A recto fistula pertains to a connection involving the rectum, similarly not confined to a direct link exclusively with the skin. Thus, the specificity of a cutaneous fistula to the skin differentiates it from the other types of fistulas identified.