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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Bowel Resection Followed By UTI. Cystoscopy Found Fistula. No Tests Located It, Feel Air Coming From Urethra

I had bowel resection in Feb. Since my surgery I have had multiple UTI's. Cystoscopy found a fistula. Assuming it is a bowel bladder connection test were done to locate it. Barium enema,sigmoidoscopy, and CT did not locate the connection. I also have been experiencing air coming from my urethra, periodically. I have been on antibiotics, prophylacticly and when I have symptoms the dosage is increased. I have a cons appt w/ my surgeon (general) to discuss the options. He's already told me I will need open surgery to remove more bowel due to more diverticuli & to locate the fistula, followed with 1mo. catheter & 6 mos colostomy. As you can imagine I am devastated by all of this. I have planned several trips , one of which is a 6wk stay in Thailand. I don't want to travel with a colostomy for obvious reason incl. the hygiene factor in foreign countries. I would like to delay the surgery until I return to the US. My trip is planned for Jan-Feb. Would it be any benefit for me to have another opinion perhaps by a bariatric surgeon? Pls. advise.
Fri, 27 Sep 2013
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General & Family Physician 's  Response
Hi, it appears that you have tired of going around the doctors. Actually the the fistula may not be a so much complicated issue for correction.
I advise you to consult a gastroenterologist for diagnosis of whether you need another resection of the gut, and further steps. Thank you.
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Had Bowel Resection Followed By UTI. Cystoscopy Found Fistula. No Tests Located It, Feel Air Coming From Urethra

Hi, it appears that you have tired of going around the doctors. Actually the the fistula may not be a so much complicated issue for correction. I advise you to consult a gastroenterologist for diagnosis of whether you need another resection of the gut, and further steps. Thank you.