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Doctor insights on: Fistula Surgery

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Are there any risks involved in fistula surgery?

Are there any risks involved in fistula surgery?

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

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Fistula (Definition)

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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What is the procedure for a ureterovesical fistula surgery?

What is the procedure for a ureterovesical fistula 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

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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?

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

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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.

Complex question: Fistulas are a dreaded complication of surgery; if the output is low (less than 500ml per day) then there is a reasonable proability that they will close without requiring further operation. ...Read more

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Are any follow-up treatments needed after anal fistula surgery?

Are any follow-up treatments needed after anal fistula surgery?

Surgeon office exam: Evaluation by your surgeon after surgery to be sure that the area is healing properly would be sufficient. There is a low chance of fistula recurrence after the first surgery, depending on the size, depth, and location of the fistula, and what type of surgery was performed. ...Read more

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I had an anal fistula surgery and have a rash there now. Is it better to put Vaseline/linecaine on it at night or let it breath?

I had an anal fistula surgery and have a rash there now. Is it better to put Vaseline/linecaine on it at night or let it breath?

Rash: It depends on the cause of the rash. If it is a fungal rash, you may need nystatin written as a prescription. Otherwise, a barrier cream like zinc oxide and air are best for rashes down there. ...Read more

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I have a boil about 1 inch from my anus. It is at the site of a former fistula surgery. Should I wait for it to come to a head or seek immediate attention. If so, family doc or colorectal doc to lance?

Colorectal doc: A "boil" at the site of a previous fistula surgery suggests that the fistula has returned. It will probably drain itself easily with hot soaks or baths but the track will persist. Recurrent fistulas can be difficult so a colorectal specialist would be your best option. ...Read more

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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 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?

Call: Call your doc. This is a painful surgery. Ask what they suggest. If necessary. Go to ER, especially if suicidal thoughts. ...Read more

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Can you heal recto-vaginal fistula without surgery?

Ussually not: Depends on the size of the fistula and what's coming though. But inpatient cases you need surgery to repair it. ...Read more

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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?

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

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Is it required to shut down a mature av fistula for surgery on the same side?

Is it required to shut down a mature av fistula for surgery on the same side?

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

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What to do if I have anal fistula wihout surgery and medicine, naturally cure treatment?

There is: No natural cure for a fistula. Period. Sorry, but surgery is the best way to resolve a fistula. ...Read more