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Re: VESICOVAGINAFISTULA: vesicovaginal fistula post hysterectomy
From: Professor Galal Lotfi (anonymous@obgyn.net)
Tue, 24 Mar 2009 16:30:52 -0500 (CDT)
This is an uncommon complication of hysterectomy. Cather is used in the
early postoperative weeks to give a chance for closure of the fistula if
it is very small. However if it did not close, then 6 to 8 weeks is
enough to start surgry for correction of the fistula.
At Tue, 24 Mar 2009, T. Lyons, MD wrote:
>
>Message posted on T. Lyons, MD behalf by: Hope Waltman, Fibroid and
>Women’s Health Forum Moderator
>
>This is an uncommon complication with hysterectomy but it does occur.
>I would get with which ever doc you feel most comfortable with
>however, the doc does need experience in this area. Best to take your
>time as rushing into the situation can prove ill advised. Fistula
>repair has to be done in a very deliberate manner.
>
>--
>T. Lyons, MD
>ATLANTA, GA, Sightline of Atlanta
>
>http://www.thomasllyons.com
>http://www.endocenters.net
>
>Note: Opinions expressed here are for educational purposes
> only and, as such, do not constitute a physician-patient
> relationship. This information is not intended to supplant
> the need for you to consult with your physician prior to
> choosing therapeutic options and/or interventions.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>At Sat, 21 Mar 2009, Dennel wrote:
>>
>>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.
>
--
Professor Galal Lotfi, MD. MRCOG
14A Sherif street.
Cairo. Egypt
202-24535597
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