WOMENS-HEALTH Messages for March, 1998: Re: Stool is passsing while I urinate

Re: Stool is passsing while I urinate

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Wed, 4 Mar 1998 21:57:55 -0600 (CST)

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At Wed, 4 Mar 1998, Deval wrote: >
>I gave a birth to Babyboy 3 months back. It was
>a normal delivery, but everything from Vagina to rectum
>was cut when baby came out. After delivery,
>I have noticed that when I urinate for the first time
>after passing the stool,I can see stool in the urine.
>I can smell it also. I visited Dr., they asked me
>to be on juice for 2 days and then they gavve
>me Barium. They said, test was normal.
>But there may be a very small whole betweemn
>vagina and rectum. If it does not heal by the end of
>6 months, I may have to be operated. They said
>it is a major operation.
>Please tell me following
>(1) What this operation is called.

What you may have is an enterovesicle fistula (a connection between the bowel and the bladder). The surgery to repair it is called, most simply, a fistula repair.

>(2) Why this has happened.

Trauma from the delivery, although this usually causes a fistula between the rectum and the vagina. The most common cause of a fistual between other parts of the bowel and the bladder is actually inflammatory bowel disease (Crohns or ulcerative colitis) or prior radiation.

>(3) Is it a usual case?

Not if it is really a enterovesicle fistula and your only risk is the delivery.

>(4) Is operation very serious?

It is a surgery that should be done by an experienced surgeon (usually a general or colorectal surgeon if it is a enterovesicle fistula) or a gynecologist (pelvic reconstructive gynecologist or urogynecologist, preferably) if it is a rectovaginal fistula.

>(5) How much is the charge of operation?

That depends on the surgeon doing it and where you live.

>(6) How do they find the hole and fill cure it?

Often by 1) a barium enema or 2) a barium or gastrograffin upper GI with small bowel follow thru (anothre x-ray test where you drink a special dye) or 3) instilling dye into the bladder or 4) looking in hte bladder with a special scope to find the hole or 5) seeing where the bowel is stuck to the bladder during exploratory surgery

>
>I am scared, is there anything I can do to prevent
>operation?

You just have to wait and see what happen, Often we recommend a low rsidue diet so you don';t have much stool coming thru the bowels. >
>Please answer ASAP. Thank you very much.
>
>Yours Sincerely,
>Deval Shah

Talk to your doctor some more -- ask the same questions you asked here -- they are very good questions

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

Next message: Kelly Shanahan, MD: "Re: PMS Escape"
Previous message: Roberta: "Re: Fibroid Pain - D&C"
In reply to: Deval: "Stool is passsing while I urinate"
Next in thread: Penny: "Medications Affect BC Pills??"
Reply: Penny: "Medications Affect BC Pills??"

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