What causes watery vaginal discharge post abdominal hysterectomy?

default
Posted on Thu, 16 Apr 2015 in Women's Health
Question: I just recently had a total abdominal hysterectomy a month ago. Everything seemed to be going well until about 3 weeks post surgery. I am having a lot of watery discharge which I thought was urine so my OB/GYN did a test to see what it was, but I think the young lady in the office ordered the wrong test. I am going through several pads a day and I have a CT Scan with IV Contrast scheduled in the morning to get a clear picture of my abdomen and pelvic area to see where the issue lies. Have you ever heard of a patient experiencing this after a total abdominal hysterectomy? Please help!
doctor
Answered by Dr. Aarti Abraham 18 minutes later
Brief Answer:
Sounds like a fistula.

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
What you say sounds ominously like a fistula.
Most commonly, a vesico vaginal fistula.
Was this an open surgery or a laparosopic one ?
What was the indication for hysterectomy ?
What does the histopathology say ?
Lots of questions I know, but then the issue demands answers.
A vesico vaginal fistula is a known complication of a hysterectomy, wherein part of the bladder is stitched to the vaginal wall unknowingly.
It is a rare complication, but not very rare.
About 1 - 5 % .
Certain factors increase the risk of developing such a fistula post surgery - endometriosis, obesity, adhesions, prior surgeries, inexperienced surgeons etc.
Rarely, it could be a fistula ( track ) between the vagina and the ureter also.
You are due to have a CT with contrast, that will tell you whether there is a fistula and if so, where is it.
If there is a fistula, it will need surgical correction unless it is very small, when prolonged catheterization might heal it.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Aarti Abraham 23 minutes later
My hysterectomy was open due to an enlarged uterus with uterine fibroids. I had a myomectony and blood transfusion on 09/07 and another blood transfusion November of last year. My uterus was filled with fibroids and I used to have really heavy menstrual periods.
doctor
Answered by Dr. Aarti Abraham 3 minutes later
Brief Answer:
Let us wait for the report.

Detailed Answer:
Well, keep me posted on the report of the scan tomorrow.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6010 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures
Lab Tests
Medical Topics ,  

Recent questions on  Vaginal fistula

doctor1 MD

My mother-in-law had a major open surgery on Nov last year. She had one of her kidneys removed and also had vesicovaginal fistula repaired. She is...

doctor1 MD

Hello - I'm female aged 55 - in January I had a hysterectomy and my bowel perforated. This wasn't as a result of neglect - it was down to years of...

doctor1 MD

Hello - I recently (June 18) had surgery to remove Bartholin's (sp?) gland. The surgery should have taken only an hour but ended up taking closer...

doctor1 MD

i have been having rectal bleeding during my periods only for 5-6 months, my GP has referred me for sigmoidoscopy which i had today, bowel clear...

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2