Doctor insights on:
Colovaginal Fistula Repair
Fistula: A colovaginal fistula is an abnormal communication between the colon and the vagina. Patients experience the passage of stool and gas per vagina. Usually seen in patients after a hysterectomy. Usually caused by Diveticulitis but other diseases such as cancer, Crohn's, etc could be the culprit. I hope this helps. Be well!
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
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.
Symptoms can get: Worse and an otherwise simple fistula, easy to repair, can develop into a more complex fistula, much more difficult to repair and associated with a poorer success rate. Best to make the time to determine the reason for the fistula, correct that, and if necessary have your fistula repaired before it becomes more problematic.
My first birth resulted in a 4th degree tear, and a fistula. I am wondering if I can have another vaginal birth? Fistula has been repaired.
What exactly is the risk of leaving a small rectovaginal fistula alone? Will surgical repair cause more complications w/thin septum from prior lar/tme?
Urogynecologist/Gyne: A urogynecologist if you can find one or a gynecologist.
How long does it take for a 3" incision to heal from femoral arterial venus fistula repair? My incision leaks and smells and is slightly open.
See your doctor: You may have an infection since it is draining a foul odor.
Tracheoesophageal fistula - daughter just had a repair and it didn't work. 11 days after surgery they checked to see for a leak surprise fistual there?
Complicated: A leak after a tracheoesophageal fistula repair is not the end of the world and is not the same as an operation that didn't work. Ask your surgeon to explain exactly what happened, and what he thinks will happen. Is there a chance it will heal? Is another operation necessary? Has he seen this happen before? Probably, a good outcomes is still possible.
I had fistula repair surgery a week ago. Wound was left open to heal, no stitches. Are sitz baths with epsom salt advantageous, promote healing?
Won't help or hurt: Since you are a male who had fistula surgery, I am assuming it was an anal fistula. Using epsom salts in addition to soaking in a warm bathtub has not been proven to help or harm healing. Just getting into the tub for 10 minutes or more at least 3x/day helps relieve pain, keep the area clean, and promote healing. If you think it helps, go ahead and use it! Good luck with your healing!See 1 more doctor answer
How soon after a rectovaginal fistula repair fails can a repeat surgery be performed? I am getting stool through the surgical site. On 14 day course of levaquin (levofloxacin). I'm anxiety ridden & need answers.
It depends: Several variables will dictate a new surgical date. Since stool is coming through the surgical site, you will need to be placed on bowel rest with nutrition given intravenously. You will need to have normal nutritional status prior to surgery. All inflammation in the area will need to be suppressed. This may take quite some time to accomplish. You will need a good nutritional evaluation.See 2 more doctor answers
My girlfriend had a CT scan that revealed a "small vesicovaginal fistula". Should a urologist perform the repair surgery or a gynecologist?
Urogynecologists: You would want to talk to someone who specializes in urogynecology, which can be either a gynecologist or a urologist. Both will have done further fellowship training in issues specifically related to fistulas like your girlfriend has. I think more obgyns are going into this area, at least where I am, but look at what is available in your area.See 3 more doctor answers
Depends: There are many kinds of fistulas. By definition a fistula is an abnormal communication from one organ to another. Anal fistulas arise from the anal crypts internally. Enterocutaneous fistulas connect the bowel to the skin, fistulas can develop from almost any organ and most often indicate some underlying disease process.
Shunts: Can also be arterio venous fistulas that have occurred naturally due to disease or trauma or surgeon made for vascular access for dyalysis. There are other types of shunts and fistulas. Need more specifics to help any further with an answer.
"short circuit": A patient who is on dialysis needs the machine to clean toxins from the blood that the kidneys usually do. The patient's blood needs to get out of the body, through the machine, and back into the body. A dialysis fistula is made by sewing a vein to an artery. This short-circuits the blood flow and the vein becomes dilated because it experiences arterial pressures. This can be used for access.See 1 more doctor answer