Re: VESICOVAGINAFISTULA: vesicovaginal fistula post hysterectomy
From: T. Lyons, MD (anonymous@obgyn.net)
Tue, 24 Mar 2009 05:48:40 -0500 (CDT)
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.
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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.
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