Doctor insights on:
Colovesical Fistula Treatment
An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read moreSee 1 more doctor answer
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
Usually not: A fistula is an abnormal connection between 2 organs. A vesicovaginal fistula is a connection between the bladder and vagina. There is usually no pain and the symptom is uncontrollable leakage of urine; some patients are even unaware that the origin is from the vagina. ...Read moreSee 1 more doctor answer
Surgery: When a vesicovaginal fistula has developed, usually after delivery, surgery or radiotherapy, surgery is the treatment. Depending on the exact condition and size, your gynecologist may correct this, or they may need assistance from a urogynecologist or urologist. The most difficult cases are after radiotherapy for pelvic cancers, as these tissues can be slow to heal. ...Read moreSee 1 more doctor answer
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
BLADDER DIVERTICULUM: Hutch diverticulae are a certain types seen at the junction of the ureter and bladder and, by themselves are harmless if there is no reflux. They are often associated with refluxing ureters. There are many who have them found by accident that have no symptoms. Other bladder diverticulae can be signs of high voiding pressures as well as a hutch enlarging from same. A bladder diary and urodynamics. ...Read more
Appx what percentage develop a stricture after surgery 4 colon/bladder fistula & diverticulitis? Is the balloon treatment (dillation?)very successful?
Anal fissure: The management of primary anal fissures is generally non-operative and includes increased dietary fibre, warm baths, topical ointments and sometimes botulinum toxin injections. If these treatments are ineffective then surgical intervention may be considered ...Read moreSee 2 more doctor answers
What surgical procedures exist for thrombosed external hemorrhoids? what other treatment will hasten recovery?
Excision or drainage: The only surgical procedure for thrombosed external hemorrhoid is to open the skin and drain it usually under local anesthesia in an office setting or to excise the entire hemorrhoid and clot and this also can be done under local. Banding and similar procedures are done for INTERNAL hemorrhoids. Important to know thrombosis will resolve without procedure with hot sitz bath and time. ...Read moreSee 1 more doctor answer
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