Urology Community
Fistula repair?
About This Community:

This patient support community is for discussions relating to urology issues, benign prostate disease, penis curvature, cystisis, pediatric urology, prostate, sexual dysfunction and urological cancers.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Fistula repair?

Dr. J Singh,

I have had my review with the urologist on September 23. I don't remember too much as I had just been treated for a groin abscess and sepsis.
A reverse urethrogram and cystoscopy were performed and showed that the fistula was still there since March of 2008.
The urologist told me that the fistula is small and that surgery might not be neccessary. He has me returing in March of 2010 for another cystoscopy.
My concerns are as follows.
1. The risk of UTI kidney infections. This was how the fistula was discovered by myself during a stay in hospital for a kidney infection and pneumonia.

2. The embarrisment of not being able to control passing gas through the penis. When this takes place, at times small amounts of urine will be expelled as well.

3. What will be the long term result of leaving the fistula as it is? Would it not be easier to repair this fistula now at the age of 45 than waiting till I'm older? the fistula has not healed after almost 2 years and I think that it will not close on it's own.

4. Should this fistula be repaired? Leaving it poses the risk of continued infections. Between 1996 up to 2003 I used to end up with kidney infections and UTI about every 3 to 4 months. I don't want this to happen again.
In 1995 I had surgery, resection of the bladderneck and TURP. Could this have caused a weak area? in 1996 I was diagnosed as having a neurogenic bladder. I used intermittant catherization. The urologist believes that I created the fistual with catherization. Would this not return if the suprapubic catheter is removed and I go back to self catherization?
the fistula is located between the prostate and rectum.

Your insight is greatly appreciated.

Ron
Related Discussions
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Urology Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Urology Answerers
4851940_tn?1385441629
Blank
jemma116
United Kingdom
Avatar_m_tn
Blank
junebug68
Winter Haven, FL