Doctor insights on:
Adhesions And Fistulas After Surgery
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. ...Read more
Adhesions are scar tissue which can form after any abdominal surgery. The severity depends on whether infection/inflammation was present at the time of surgery. Adhesions are like bands or spider webs that form around the abdominal organs/intestines. Sometimes adhesions are light and cause no problems, sometimes tremendous problems, like crazy glue in the abdomen. Can ...Read more
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. ...Read more
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. ...Read more
Really depends: Erika - there are several surgeries for anal fistula. Your recovery really depends on not only what exact procedure you have, but also your tolerance for pain, and how important it is for you to be back at work. I've seen a range from the same afternoon to three to four weeks. ...Read moreSee 1 more doctor answer
Why?: Adhesions are internal scar tissue that can form in the abdomen after prior surgery or pelvic infection. Adhesions form after most any surgery, and each subsequent operation may cause more adhesions or scar tissue to develop. Adhesions are usually removed if they are causing intestinal obstruction. Gynecologists may have other reasons. Surgery is not necessary just because adhesions may be present. ...Read more
No: Typically a fistula is a chronic inflammatory "tunnel" between the anus and the skin. There are many types, many treatments, and the most common surgery involves literally "filetting" open the tract to allow it to heal by itself, and thus obliterate the tunnel. This is somewhat painful, but offers the advantage of removing the chronic, longstanding focus of inflammation and pain, and so is usual. ...Read moreSee 1 more doctor answer
Not common: But not rare. Depends if the fistulas are in the exact same place and how they were treated surgically, how complex the fistulas were and whether the correct surgery was performed. Fistulas can recur if incompletely treated at the time of surgery. See a colorectal surgeon for more complex fistulas as your husband has. Also consider whether he has been tested for crohn's disease. ...Read more
I found out I have adhesions in my intestines causing pain. It is getting worse on my lower right side, is surgery needed?
Not necessarily: 1. Adhesions don't always cause pain. 2. How do you know you have adhesions? 3. Adhesions don't always cause pain. 4. Adhesions will not show up on x-rays or ct. 5. I'd be hesitant to have a surgical procedure just "for adhesions" unless there is very strong clinical evidence they are causing a problem (such as intestinal obstruction), because… 6. Adhesions don't always cause pain. ...Read moreSee 2 more doctor answers
A friend of mine did surgery to remove fistula from her rectum and after this surgery it just keep bleeding isn't this dangerous?
Bleeding: All bleeding comes to an end at some point. But your friend likely doesn't want to wait that long, and it could be dangerous over time. The body needs blood for several important functions. If the bleeding truly doesn't stop, she should call her surgeon tonight. It might take a little cautery to stop the bleeding. ...Read more
It is about 4mths since i develop a fistula after surgery for burst appendix. The output has decreased to 12-24ml per day. Will it naturally heal?
Usually: Appendiceal fistulae are not common after appendectomy but may occur in the setting of severe infection. A low output fistula like yours will usually close on its own. I would recomend occasional ct follow-up and colonoscopy if there is any concern for a cancer in the right colon. However, your story is most consistent with a typical benign fistula. ...Read more
I have been diagnosed with an umbilical fistula for about three weeks now. Should I get surgery immediately or wait? My Dr thinks i should get it now
Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more
A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more
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