Doctor insights on:
Colovesical Fistula Surgery
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
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
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
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 more
NO: There is no known medical treatment for anal fistulas. This should be treated by a colon and rectal surgeon. ...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 more
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
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
Sure, it's surgery:
Any surgical procedure has inherent risks, including possible infection, bleeding, sedation/medication issues, possible damage to nearby tissues including nerves, etc.
Discuss the details with your surgeon. ...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. ...Read more
Anal Fistula: Anal fistula should usually be addressed. Normally this is done with surgery. In patients with crohns disease, sometimes asymptomatic fistulae do not require treatment. Otherwise not treating a fistula can leave one at risk for infection, abscess, life threatening infection, and over a period of years, possibly cancer developing in the fistula tract. ...Read more
Very successful: A fistulogram is done to identify the tract so that it can be repaired completely. ...Read more
Fistula abscess surgery cant take the pain anymore 10 days after surgery no medic or drug help me I want tu suscide cant take it please help?
Fistula surgery 5.6.17 fistula healed from top to the anal hole there's a small hole left else is closed up and looking good how long to fully heal?
Check With Doctor: The surgeon (or a nurse in the office) should be able to answer this. Generally, the doctor will want to see you for follow-up after most any surgery anyway. The surgeon knows what s/he had to do to correct the fistula and can best judge how long it should be until full healing occurs. ...Read more
I have 3 post surgical fistulas. Surgery was 9-22. What are my chances of them eventually collapsing? I have bowei drainage coming from the top gfistula.
Not Always: Gastrointestinal fistulas are treated according to the organs involved and the output of the fistula. Fistulas between the colon or small intestine and colon can be left alone as long as they are not causing infection or malabsorption. Fistulas from the intestine to the skin are classified as high output (>500 ml/day) or low output (<500ml/day). Low output fistulas generally close without surgery. ...Read more
Usually yes: If there are 2 functioning av accesses on the same side, there is higher risk of access steal (not enough blood flow to the hand, producing hand pain and sometimes gangrene of the fingers). If the mature access is having problems (pseudo aneurysms, stenosis), most times we can repair it rather than sacrifice it to place another access. ...Read more
Hello I have a multiple opening Anal fistula for 3 years but I am to much afraid to do the surgery because of the pain how painful is the post surgery?
Iam suffering from anal fistula for 3 years now. Five times I had big pus in my anal side. Three times I removed it my a small surgery and two times i?
See colorectal surg:
You need a formal fistulectomy not just a fistulotomy.
Excise the whole tract and surrounding tissue. ...Read more
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