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Vaginal Fitusla.
I am being investigated for a vaginal fitusla one day last week I had stool coming out of my vagina 3 times one of times I found stool on underwear the other times I found stool in bowel and vagina. I am being referred to gynacology doctor tried to do a internal pelvic exam but I was very anxious and paniced. Also I have never been sexual active, I never had problems with bowel movements since. Also I have noticed I am having a lot of yellow discharge on pants especially at night all over the pants from back to front can this happen with a fitusla. I am to see gynae in 2 days time.
COMMUNITY LEADER
It does sound like you've got a tunnel between the bowel and vagina, and since you've never had evidence of such a thing before, like it has only recently appeared. (Which is not uncommon. It would be more unusual to have had one since birth. They can sometimes form in just a few days.)
Yes it's a serious thing to take care of, and of course it's also a hassle for you. I'm glad you will see the ob/gyn in 2 days. In the meantime, can you wear "Depends" or other incontinence underpants? It will save on general hygiene while you wait for your doctors to help you.
Here's from another website about the general topic of vaginal fistulas: https://my.clevelandclinic.org/health/diseases/22260-rectovaginal-fistula
If you think you will be too anxious to have the exam, call the gyn's office and explain this, tell them it's serious enough that you couldn't have a pelvic exam before. Ask if the doctor can prescribe you one Valium, to take an hour before your appointment. That will help. You won't be sleepy, but will be less anxious.
Pelvic exams are uncomfortable but not painful. And if the doctor needs to look into your vagina, a pelvic is how it's done. Vaginas are naturally closed, like a mouth, (though obviously they can stretch enough to let a baby out). The speculum is similar to if a doctor who wanted to look in your mouth were to use some plastic salad tongs, slide them into your mouth, closed, and then open them once they're in your mouth to look at your teeth. You do need the doc to see what is going on in your vagina. Sometimes it also helps if you can have the doctor narrate what she is doing as she goes along.
If worst comes to worst, you can be knocked out for the exam. I'd try to not let it come to that, but it is an option if you can't stop panicking.
Obviously, stool has no place in a vagina. Talk to the doctor about maybe getting onto antibiotics in the interim while they decide what to do to mend it.
Good luck! Write back and tell how it went.
Yes it's a serious thing to take care of, and of course it's also a hassle for you. I'm glad you will see the ob/gyn in 2 days. In the meantime, can you wear "Depends" or other incontinence underpants? It will save on general hygiene while you wait for your doctors to help you.
Here's from another website about the general topic of vaginal fistulas: https://my.clevelandclinic.org/health/diseases/22260-rectovaginal-fistula
If you think you will be too anxious to have the exam, call the gyn's office and explain this, tell them it's serious enough that you couldn't have a pelvic exam before. Ask if the doctor can prescribe you one Valium, to take an hour before your appointment. That will help. You won't be sleepy, but will be less anxious.
Pelvic exams are uncomfortable but not painful. And if the doctor needs to look into your vagina, a pelvic is how it's done. Vaginas are naturally closed, like a mouth, (though obviously they can stretch enough to let a baby out). The speculum is similar to if a doctor who wanted to look in your mouth were to use some plastic salad tongs, slide them into your mouth, closed, and then open them once they're in your mouth to look at your teeth. You do need the doc to see what is going on in your vagina. Sometimes it also helps if you can have the doctor narrate what she is doing as she goes along.
If worst comes to worst, you can be knocked out for the exam. I'd try to not let it come to that, but it is an option if you can't stop panicking.
Obviously, stool has no place in a vagina. Talk to the doctor about maybe getting onto antibiotics in the interim while they decide what to do to mend it.
Good luck! Write back and tell how it went.
4 Comments
Thank you for coming back to me. My GP told me I might be wiping the wrong way and to try and wipe back to front to see does that help. Since this happened I have had no more instances. I have also been booked in for a MRI in the meantime as I think this would be better for me than being knocked out. I did have a Pelvic CT Scan in November 2022 which was normal and my GP thinks given that this was normal that anything sinsiter would not have developed in that time. GP also said that I had none of the risk factors I do not have chrons or have not had any traumatic births.
Sorry forgot to add in I have suffered from an overactive bladder for years; I am scared of having to go for surgery.
I would guess your doctor told you to wipe front to back. Women are often cautioned not to wipe back to front, since that can put bacteria in the vagina.
If you have actually seen stool in your vagina, as you said you have, not just around the external area, that is worth being concerned. If you have only seen stool residue in your underwear and can't tell where it's coming from exactly, then maybe the fistula concern is not real. See the ob/gyn and see where you get.
If you have actually seen stool in your vagina, as you said you have, not just around the external area, that is worth being concerned. If you have only seen stool residue in your underwear and can't tell where it's coming from exactly, then maybe the fistula concern is not real. See the ob/gyn and see where you get.
If there is a question of whether what you saw originated from inside your vagina, you might also look up encopresis and see if that might be what you have. Loose and watery stool material is one of its hallmarks.
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