Question 1

i have a supra pubic catheter and have constant uti's that have bowel bacteria in them.  ileostomy as well. could i have fistula small bowel - bladder

Accepted Answer

Possibly: Urinary tract infections commonly have bowel bacteria, but if you are concerned and you keep getting them soon after finishing antibiotics it is worth having some testing to determine if there is a fistula.  May involve a ct, a cystoscopy, or a dye study.  Knowing more about why you have an ostomy and a suprapubic catch would allow a better answer.

Question 2

i have a bowel +bladder fistula, would an operation be need for this , and if surgery, is it keyhole or open surgery?

Accepted Answer

These fistulas : Are amongst the most difficult to treat and very rarely respond to medical therapy (that is, if you have Crohn's disease). It almost always requires surgery, and the surgical repair can be difficult and is not always successful. I'd recommend seeing an accomplished surgeon with this kind of experience.

Question 3

what should be done if debris in bladder on ultra sound and cystoscopy. could it be from fistula from  small bowel to bladder?

Accepted Answer

It depends: It will show up in cystoscopy, your urologist should be able to give you more plans depending on the findings. Fistula is one of the possibilities.

Question 4

how possible is it that a bladder fistula is cancerous?

Accepted Answer

Large number: Most bladder fistulas represent urinary bladder perforated into the GI tract.  It rarely occurs with primary bladder Ca but is most often seen with Crohns disease fistulizing into bladder or cancer of the distal colon which has fistulized.  When fecal urine is noted, biopsy of the fistula is needed followed by resection.

Question 5

how to decide the urgency for booking hysterectomy, bladder and bowel repair?

Accepted Answer

totally depends: On your symptoms and what condition everything is in, your doc should be giving you strong guidance for that please call the gyn , or gen surgeon or whomever suggested the surgery.

Question 6

is it possible to repair a bladder and bowel prolapse without using mesh - given the issues that have developed using mesh?

Accepted Answer

You could try: a pexy, or suture anchoring, procedure.  This may not give you long term results but no mesh involved.

Question 7

can a bladder fistula (complicated) heal itself? i have not been wetting myself an can feel when i have to pee again. or could something worse be wrong? i was told fistulas can not heal themselves?

Accepted Answer

: I assume you have a vesicovaginal fistuta. If that is the case, the fistula is transiently obstructed so you do not experience wetting (no leak in the vagina) and bladder can be full then you have the voiding urge. Unfortunately, the fistula will recanalize sooner or later.

Question 8

why would a girl have an adhesion on her bowel and bladder?

Accepted Answer

Peritoneal adhesions: Adhesions in the abdominal/pelvic/peritoneal cavity result from inflammation. This can be from surgery or injury, from infection, inflammatory bowel disease, chemical irritation (such as blood, )and from foreign material. You do not state age: in reproductive age females endometriosis, infection, surgery (especially cesarean delivery) are common causes. A clear cause is also not always identified.

Question 9

is it true that haveing sciatica can effect bowel and bladder control?

Accepted Answer

Sciatica: Having a problem with the lower lumbar and sacral nerves can cause "cauda equina" syndrome. This can effect bowel and bladder. These nerve levels join to make up the sciatic nerve. Therefore you can have problems with both.

Question 10

over active bowel and bladder, constantly. all blood test have come back clear. everything i eat hurts my insides. what could thisbe or what to do next?

Accepted Answer

Gastroenterologist: If you have some chronic GI issues that are not getting better on their own, you should get a consult to see a gastroenterologist.  They specialize in GI issues.  There are conditions that are not obvious on blood tests that require a scope with biopsies and microscopic examination.  Endoscopy is a common and well tolerated procedure and may confirm a diagnosis.

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Doctor answers about:

Fistula bladder bowel

A member asked:

I have a supra pubic catheter and have constant uti's that have bowel bacteria in them. ileostomy as well. could i have fistula small bowel - bladder

A member asked:

I have a bowel +bladder fistula, would an operation be need for this , and if surgery, is it keyhole or open surgery?

A member asked:

What should be done if debris in bladder on ultra sound and cystoscopy. could it be from fistula from small bowel to bladder?

A member asked:

How possible is it that a bladder fistula is cancerous?

A member asked:

How to decide the urgency for booking hysterectomy, bladder and bowel repair?

A member asked:

Is it possible to repair a bladder and bowel prolapse without using mesh - given the issues that have developed using mesh?

A member asked:

Can a bladder fistula (complicated) heal itself? i have not been wetting myself an can feel when i have to pee again. or could something worse be wrong? i was told fistulas can not heal themselves?

A member asked:

Why would a girl have an adhesion on her bowel and bladder?

A member asked:

Is it true that haveing sciatica can effect bowel and bladder control?

A member asked:

Over active bowel and bladder, constantly. all blood test have come back clear. everything i eat hurts my insides. what could thisbe or what to do next?

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