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Can a bag or catheter be fixed for diverticulitis ?

Been to hospital today after months of investigations.. Surgeon now says I have deseased diverticulitis . Bleeding per vagina also faeces passing 6 days was told because of high blood pressure diabetic type 2. age 71 also hernia because of old operations not really wanting to do any operation.. Question 1. If I do not get operation what is worst case.Question 2. How can he fix bag any other way. or what could be done with catherter? worried.....
Asked On : Tue, 23 Nov 2010
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General & Family Physician 's  Response
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As I can see, you are a diabetic and hypertensive and suffering from bleed and fecal matter passing through vagina. In your age the commonest cause of this is diverticulosis in which one of the infected diverticulum (outpouching of rectal wall) got opened in the bladder and you have a connection between bladder and rectum. The only remedy unfortunately is surgery in which we do an open surgery in pelvis by opening the lower abdomen and separate the two and break all possible connections between bladder and rectum which is not an easy procedure. Here a part of rectum and bladder wall will be resected and some intraabdominal fat will be put indetween so that they do not stick together again. You will have to be on a temporary ileostomy (small instine is opened on the skin at one place in right lower abdomen and a bag is applied to collect the fecal matter till your rectum healed and thereafter another small surgery closes this) and a catheter in the bladder till the healing. Another issue is that the chance of recurrance is very high in the comming years. If surgery is not done you are likely to have recurrent vaginal and urinary infection which may lead you to a sepsis and quality of life may be miserable. You are already a diabetic. Both options- surgery or without- are difficult and have to be carefully discussed by the family and your treating doctor.
Take care
Answered: Fri, 26 Aug 2011
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