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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Vaginal Urination After Mirena Being Removed Through Surgery. Any Treatment?

I have had so many procedures, with catheters and various cystograms to try to find why I urinate vaginally. No doctor has watched me urinate, but I feel they should because they are hung up on going through multiple procedures and still find nothing. I began urinating after a laproscopic surgery to remove the mirena iud in January 2010. I only had it in from august 2009. it traveled and I had to undergo surgery, told it was painless. and may experience bloating but nothing abnormal. the very day I exited the hospital from surgery hours later, I found it hard to urinate. I finally went at 9pm. I peed two streams the first 2 times. after I peed completely vaginally. I had heard that utis brought on sympstoms like mine, so I waited. I went the end of the week to see my family doctor, and she checked for a fistula. 3 years later multiple procedures later I am still urinating vaginally, with several illnesses from so many bladder infections, and bacteria causing agents from peeing the way I do. I need ideas of what could have happened from my surgery because I am entitled to suggest procedures to find an answer and maybe a cure to fix this horrible problem I have with voiding.
Tue, 2 Jul 2013
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OBGYN 's  Response
Hi,
Thanks for the query.

If there was any pressure on the bladder or urethra during the laparoscopic procedure that can lead to sloughing of the tissue and formation of fistula.
By doing all procedures your doctors might have came to one conclusion regarding the presence and type of the fistula.
Now depending on the site and size of the fistula you can go for corrective surgery.
After surgery possibly you may not further complications.
For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429
Take care.

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Suffer From Vaginal Urination After Mirena Being Removed Through Surgery. Any Treatment?

Hi, Thanks for the query. If there was any pressure on the bladder or urethra during the laparoscopic procedure that can lead to sloughing of the tissue and formation of fistula. By doing all procedures your doctors might have came to one conclusion regarding the presence and type of the fistula. Now depending on the site and size of the fistula you can go for corrective surgery. After surgery possibly you may not further complications. For more details you can ask me through: http://www.healthcaremagic.com/doctors/dr-sree-gouri-sr/63429 Take care.