Question 1

how do doctors treat a colovesical fistula?

Accepted Answer

Colon resection: Colovesicle fistula is usually secondary to diverticulitis with perforation into the bladder.  A colonoscopy will see any colon abnormalities pre op.

Question 2

how common are colovesical fistulas ? i have uti that hasnt gone away but they did change my antibiotics. i had mild diverticulitis few years ago and spoke to my gi and hes not too concerned about it being possible colovesical fistula. thanks?

Accepted Answer

: You have asked several questions along these lines. Almost certainly there is no fistula, but you should check with your personal physician. If s/he also reassures you, accept that outcome. Either way, there is no point in asking the same question again on HealthTap. The answer won’t change. Thank you for understanding.

Question 3

i asked about colovesical fistula. i was having bubbles in urine. i now understand better thanks to a doc on here. i had clear urinalysis a week ago. are colovesical fistula a uncommon complication of diverticulitis? i do have diverticulitis. thanks?

Accepted Answer

: Yes, diverticulitis is among the conditions that could lead to a colovesical fistula. But normal urinalysis is nearly 100% evidence against it. Discuss with the doctor who manages your diverticulosis.

Question 4

i noticed bubbles in my urine today. should i be worried? i had a clear urinalysis a week ago. google suggests colovesical fistulas . are they common? thank you for your time and help?

Accepted Answer

: How can you tell you have bubbles in your urine? Have you seen the bubble coming out from your urethra opening or just the bubbles in the toilet bowl? If just the bubbles or foam in the toilet bowl, they are normal. Colovesical fistula is a serious issue, your urine will be  infected, besides bubbles urine is very turbid because colon contains tons of bacteria. Normal UA rules out this condition.

Question 5

what is the procedure for a ureterovesical fistula surgery ?

Accepted Answer

Rare condition: Ureter runs into the bladder. Ureterovesical fistula has to be between the intrvesical ureter and bladder & is usually a complication following ureteral reimplant surgery. Procedure for repair is a redo ureteral reiplant excising portion of ureter distal to the fistula. This often requires a so called "boari flap", bringing up flap of bladder to shorten length of ureter needed for reimplant.

Question 6

for a comlex fistula is laser surgery safe?

Accepted Answer

: "Complex fistula" can be treated with laser surgery safely, but may not result in complete removal of the fistula. a colo-rectal surgeon is recommended for this kind of repair, so if symptoms re-occur, get a followup consult .

Question 7

what happens during a gum surgery for a fistula?

Accepted Answer

Depends on fistula: Typically a fistula is a draining tract (stream) usually from infection.  If this is the case they would be wanting to get to the source of infection, remove it then close up the area they needed, to open, to access the infection.

Question 8

is getting surgery for a urinary fistula painful?

Accepted Answer

To some degree: Urinary fistulas are the result of underlying disease, like diverticulitis, crohns disease, or even, unfortunately , cancer. How uncomfortable the post op course is dependent on the degree of surgery required, and whether it is laparoscopic or open. But, don't worry, prudent use of antiinflammatory agents and narcotics make it bearable. Good luck.

Question 9

which is the most effective surgery for piles and fistula?

Accepted Answer

Nothing is 100%: Hemorrhoids and/or fistulas can be relatively easy or complex.  When combined, they can present a complicated repair. Please seek a colorectal surgeon , who will be able to discuss all your options . However, if you run across a surgeon who offers 100% success, get up, walk away, and seek another professional. You never get 100% success or safety, in anything. Good luck.

Question 10

are there medicines for anal fistulas, or is surgery the only option?

Accepted Answer

No: Antibiotics will help keep the infection from worsening, but once a fistula forms surgery will be needed to remove the fistula tract and the infected anal gland that caused it.

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Doctor answers about:

Colovesical fistula surgery

A member asked:

How do doctors treat a colovesical fistula?

A member asked:

How common are colovesical fistulas ? i have uti that hasnt gone away but they did change my antibiotics. i had mild diverticulitis few years ago and spoke to my gi and hes not too concerned about it being possible colovesical fistula. thanks?

A member asked:

I asked about colovesical fistula. i was having bubbles in urine. i now understand better thanks to a doc on here. i had clear urinalysis a week ago. are colovesical fistula a uncommon complication of diverticulitis? i do have diverticulitis. thanks?

A member asked:

I noticed bubbles in my urine today. should i be worried? i had a clear urinalysis a week ago. google suggests colovesical fistulas . are they common? thank you for your time and help?

A member asked:

What is the procedure for a ureterovesical fistula surgery ?

A member asked:

For a comlex fistula is laser surgery safe?

A member asked:

What happens during a gum surgery for a fistula?

A member asked:

Is getting surgery for a urinary fistula painful?

A member asked:

Which is the most effective surgery for piles and fistula?

A member asked:

Are there medicines for anal fistulas, or is surgery the only option?

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