### Patient: Doctor, I have been experiencing some unusual symptoms like urinary incontinence, bowel incontinence and vaginal discharge. I am quite embarrassed to talk about it but I think I might have Pelvic fistula. 
### Doctor: Thank you for sharing your symptoms with me. Based on what you have mentioned, we will need to perform a pelvis exam to confirm the presence of a pelvic fistula. Additionally, we may need to conduct other diagnostic radiology and related techniques, and endoscopy and endoscopic biopsy of the urinary tract. We will also need to perform rectal examination and an electrocardiogram, and based on the results, other therapeutic procedures of the urinary tract may be required.