tag:blogger.com,1999:blog-30499448.post4847730474689393667..comments2024-02-18T13:53:30.168-08:00Comments on Surgeonsblog: PisserSid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-30499448.post-32007465999230463142011-09-28T15:13:41.419-07:002011-09-28T15:13:41.419-07:00Well, I guess I'd ask how come you're not ...Well, I guess I'd ask how come you're not seeing the surgeon... (snarky, I admit; but for a potential major operation, I'd think it's appropriate to go to the mouth of the horse.) <br /><br />I'm not aware of a clip that would solve the problem: when a colovesical fistula occurs, in general it's felt necessary to remove that portion of the colon from which it occurred, both for permanent cure and for definitive diagnosis. The operation to remove the colon can be done laparoscopically, depending on how dense adhesions are.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-88905821961576222202011-09-28T11:19:35.973-07:002011-09-28T11:19:35.973-07:00I was recently diagnosed with a colovesical fistul...I was recently diagnosed with a colovesical fistula due to diverticulosis. No passing of gas or fecal matter, but I did get a urinary infection. I have a consult with a nurse practitioner at a sureon's office next month. What kid of questions should I be asking? I've also heard that there is a laparoscopic tre4atment that entails the use of a clamp or clip. Have you any info to share on that? Thanks.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-36475920839867982332011-07-20T18:17:11.996-07:002011-07-20T18:17:11.996-07:00I'd say it's quite routine to leave a urin...I'd say it's quite routine to leave a urinary catheter for a week or so after bladder repair. I assume by "cystoplasty" you actually mean cystoscopy. I'd agree that part is less usual, but I have no basis for speculating why they want to do it. There's certainly no reason you should hesitate to ask your surgeons. <br /><br />Same with the fistula: I'd say that's an uncommon cause, but the ones who did the surgery are in a far better position to explain. You should ask them what exactly they think the process was. I see no reason why they'd have a problem with you asking.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-4562751269618287522011-07-20T14:46:20.503-07:002011-07-20T14:46:20.503-07:00I recently (6 days ago) underwent colovesical fist...I recently (6 days ago) underwent colovesical fistulae repair, along with sigmoidectomy. The procedure had to be 'open', due to complications (adhesions/scar tissue) from (2) previous intrabdominal procedures-- 1. 'exploratory' surgery (my appendix perforated while 'in-hospital' under "obserevation??" for severe abdom pain in 12/06 followed by peritonitis--yup, those SoCal staff bozo's really blew it!) then in 6/07 I had laporoscopic ventral hernia repair (massive) because the 1st incision did'nt close properly. Anyway, luckily I found a great colorectal surgeon and bilateral stents werre placed by an equally talented urologic surgeon. Procedure was successful and stents were removed before closure.<br />They/he decided however to leave a urinary catheter in for 7 full days post-op and ordered a cytoplasty on Day 7 post-op. <br />Is this SOP, or is there concern that the bladder was not succcesfully repaired? Should I be concerned? <br />My PCA though this was 'quite unusual'. <br />NOTE: I did have mild diverticulosis, but the cause of the fistulae were ahedsions/scar tissue/mesh degradation per my cutter.<br />Any thoughts on this? Feedback/advice would be greatly apprectiated! Thanks.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-71558598688757872942007-05-10T09:53:00.000-07:002007-05-10T09:53:00.000-07:00osto island: yours is a really difficult situation...osto island: yours is a really difficult situation and, I'd expect, fairly unique. I'm sorry to hear of your ongoing problems. I wish I had suggestions for finding others. Perhaps searching "support groups" along with "radiation enteritis," "colovesicle fistula," etc.Sid Schwabhttps://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-19840453214046932762007-05-10T09:43:00.000-07:002007-05-10T09:43:00.000-07:00Twenty one years post-radiation treatment for a pe...Twenty one years post-radiation treatment for a pelvic tumor, I developed a colovesical fistula. Five surgeries later, including a permanent colostomy and and a gracilis transpostion, I have developed a 4th recurrance of the fistula, this time to the stump rectum. Any idea if there are many people I might contact who are living with this condition.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-50311214776817606392007-04-11T10:47:00.000-07:002007-04-11T10:47:00.000-07:00I'm having my colovesical fistula repaired at the ...I'm having my colovesical fistula repaired at the end of this month, and it's fascinating and reassuring to come across this post of yours, as I've been trying to educate myself about the procedure and (even more) the recovery process afterwards. Thanks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-55485239589406974302006-11-28T15:30:00.000-08:002006-11-28T15:30:00.000-08:00I was curious to learn more about fistula, and cam...I was curious to learn more about fistula, and came across what is probably the most horrifying <a href="http://www.washingtonpost.com/ac2/wp-dyn/A14059-2003Oct24?language=printer">article</a> I have ever read. [Warning: graphic descriptions.]<br /><br />Not to derail the topic - I just have a lot of respect for the doctors who are there trying to repair this kind of damage, in what are sometimes futile cases. Those skills you have to put people back together aren't just making parts work again, they sometimes can restore sanity, honor and families.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-23559593596677267462006-11-25T12:03:00.000-08:002006-11-25T12:03:00.000-08:00when i was a registrar we did one of these. my con...when i was a registrar we did one of these. my consultant got me to cathererise the patient before the time and place the catheter underwater to watch the bubbles come out. champaign didn't come to mind. "you're not getting any tonight" did.Bongihttps://www.blogger.com/profile/12918640034313468627noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-2666816829420495052006-11-22T18:00:00.000-08:002006-11-22T18:00:00.000-08:00I try my best to avoid being in the OR when a colo...I try my best to avoid being in the OR when a colovesical fistula repair is in progress since the problem is almost always related to a bowel issue. But sometimes the general surgeon will feel obligated to suck me in... <br /><br />The PCP will frequently send me the fistula patient first (since the symptoms seem all urological in nature at first glance), and then when I refer to the general surgeons, they feel it's common courtesy to let sew up the bladder. I usually tell them that I trust them to do an excellent job and the bladder is a very forgiving organ. :)<br /><br />And shame on those urologists who couldn't find the ureter!!!Keagirlhttps://www.blogger.com/profile/03318775083734764508noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-44652000150518158362006-11-21T03:37:00.000-08:002006-11-21T03:37:00.000-08:00When I was in med school, there was a weekly "puzz...When I was in med school, there was a weekly "puzzler" film put up on a light board in the Radiology lobby, along with a brief history. The history that went with the x-ray that demonstrated this problem was a non-English speaking patient whose CC was: "I Pierre."#1 Dinosaurhttps://www.blogger.com/profile/01357845504444464397noreply@blogger.com