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Doctor insights on: What Happens To A Fistula That Fails Will I Need Another Operation To Remove It

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What happens to a fistula that fails? Will I need another operation to remove it?

What happens to a fistula that fails? Will I need another operation to remove it?

Not usually: Please try not to let it fail. As an interventional radiologist, i open fistulas all the time. Have it checked if not working correctly. I don't want you to run out of access. ...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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Is surgery always necessary to remove a gastrointestinal fistula?

Is surgery always necessary to remove a gastrointestinal fistula?

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

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A friend of mine did surgery to remove fistula from her rectum and after this surgery it just keep bleeding isn't this dangerous?

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

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Had surgery to remove diverticulitis and a bladder fistula a year ago it hurts in my right pelvic area when I cough?

Had surgery to remove diverticulitis and a bladder fistula a year ago it hurts in my right pelvic area when I cough?

Get eval: Not sure if the pain is related to the previous years surgical site, or if your appendix is inflamed, etc. With your symptoms and history, best to get a medical evaluation and some possible testing ordered to aid in the diagnosis and subsequent treatment if needed.. best wishes. ...Read more

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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.

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. ...Read more

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Had surgery to remove fistula between colon and bladder. Foley taken out yesterday. Are small bits of blood in urine and pain during erection normal?

Yes but: Sorry you had colovesical fistula at such a young age .Small bits of blood after taking Foley out is not worrisome.Call your surgeon and mention about painful erections .S/he might prescribe oral ketoconazole which will often prevent this. Hope this helps.Speedy recover. ...Read more

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I undergone for anal fistula operation before two days.Now for how many days I have to go for dressing to the docor?

SImple Care: The good news is that area has fantastic blood supply and so healing will occur rapidly. Inflammation (red, hot, tender swelling) is the body increasing the blood flow to the injury to bring healing factors to the area and also the veins expand to carry bad stuff away. Dressings and ointments are of no value there. Avoid further trauma to the area and let nature take it's course. ...Read more

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I have a bowel +bladder fistula, would an operation be need for this , and if surgery, is it keyhole or open surgery?

These fistulas : Are amongst the most difficult to treat and very rarely respond to medical therapy (that is, if you have Crohn's disease). It almost always requires surgery, and the surgical repair can be difficult and is not always successful. I'd recommend seeing an accomplished surgeon with this kind of experience. ...Read more