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VESICOVAGINAFISTULA: vesicovaginal fistula post hysterectomy

From: Dennel (anonymous@obgyn.net)
Sat, 21 Mar 2009 02:19:44 -0500 (CDT)


I had a LAVH on January 20th of 2009 and ended up with a vesicovaginal fistula about 5 days post surgery. I have not found much on the web about this issue and wonder what other opinions are out there. I have gone for a second opinion after my first urologist said 0-3 months to fix and then changed his mind to 3 months or longer stating that tissue needs time to heal. I have so many problems with infections. I have had two catheters in place since February 10th and I am still leaking a lot of urine from the vagina. Why do I have to keep the catheters if there is obviously no change in the fistula. It is 1 cm (approx) and was diagnosed on Feb. 10 when they placed the supra pubic catheter. I have had nothing but trouble. I have so much bladder pain and feel as if I have been hit in the genitals by a bat. I have constant pain and burning in the urethra that rarely ever goes away. The second opinion doc is a urogynocologist who says lets fix it now. Why the differing opinions and who is right? Above all, why do I still have both of these catheters? I have not been able to work much since this has happened to me. As if managing 2 catheters is not hard enough, the constant pain and infection and leakage makes it down-right impossible for me to maintain a pace that is adequate. I am lost and wonder if I am a guinea pig to this urologist. I can't get any info and my gynocologist just doesn't want to deal with me at all. I am an emotional, infected 32 year old mother of 2 active kids, MESS.



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