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.
Prostatic to rectal fistula, almost three years ago
Hi, I have posted something simmilar about a year ago.
Currently it will be three years in March since I was diagnosed with this fistula while I was in hospital in 2008 with a severe kidney infection and pneumonia.
I have been under the care of a reconstructive urologist for the last 2 and a half years now.
Last September I went in for another cystoscopy and once again the urologist told me that he will review my case in another 6 months. While I looked at the screen as he was performing the cystoscopy, I could clearly see the fistula as well as other rough looking areas of the prostate.
The urologist seems to stall things as he states that it will be a major surgery. I was aware of that after my second consultation and cystoscopy. At that time I had alread resigned myself to the fact that this surgery will have to take place.
I kow that this surgery has risks and I know what most of the risks are. It is my hope that I can have this corrective surgery to repair the fistula and that I eventualy can get rid of the suprapubic catheter.
I believe that the following problem causes another area of concern for the urologist. This is the fact that I have a neurogenic bladder for which I have been self cathing since 1999- 2000.
He figgered that the fistula was caused by me doing the self cathing. I believe that if that had been the case I would have been able to feel it.
In 1995 at the age of 30 I underwent a TURP and resection of the bladderneck due to an obstruction in the bladderneck. I think that it is much more likely that this surgery had created a weak are in the prostatic urethra.
The urologist now feels that once the fistula has been repaired I eventually will end up with the same problem again.
My question is: would removal of the prostate illiminate this bad section of the urethra? After all some males with cancer of the prostate, have their entire prostate removed. Would that be an option for me?
If this is not possible, would it not make sense to repair the section of the urethra in which the fistula is located.
In the last year I have had at least four UTI and the beginning of a kidney infection. If the fistula is left as it is, which it seems that the urolgist is suggesting, would it not be the cause of repeated infections.
As far as I can understand, even in the best conditions the suprapubic catheter can be the source of infections.
After almost 3 years of having lived with this, I'm sick and tired of it and I would like to proceed with the repair of this fistula.
What can I do to get the urologist to ge ahead with the repair?
I hope to get a professional opinion from one of the doctors here, but any suggestion is welcome. I would like to restore my life to what is was like before I ended up with this fistula.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.