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Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20381
Experience:  I am fellowship trained specializing in general urology and reconstructive urology.
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Can fistulas between urethra and colon close or be sealed?

Customer Question

Can fistulas between urethra and colon close or be sealed? How?
Submitted: 1 year ago.
Category: Urology
Expert:  Dr. Chip replied 1 year ago.

Hi--can you please tell me more about the fistula?

Customer: replied 1 year ago.
It happened/formed as a result of robotic prostate surgery/recovery. Bubbles were coming through penis and fluids in quantity thru rectum. Surgery was tried to patch fistulas and that didn't seem to work. Now we have nephrostomy tubes to lower H2O pressure on bladder, Ileostomy and foley in place...Now facing colostomy and removal of bladder...This has been ongoing since last February's attempt to repair the fistulas. sigh
Customer: replied 1 year ago.
Surgery involved using a patch of tissue from top of thigh as well as tissue from internal abdomen.
Expert:  Dr. Chip replied 1 year ago.

Sorry to hear about all of that

So has your surgeon said that there's nothing left to do but the surgery you mentioned?

Customer: replied 1 year ago.
That's where we are due tomorrow alas.
Customer: replied 1 year ago.
Little late, eh?!
Expert:  Dr. Chip replied 1 year ago.

Yes, I understand

So are you asking if there are any other surgical options for this?

Customer: replied 1 year ago.
Yeh- Late but curious.This is the wife. Will check back later.
Expert:  Dr. Chip replied 1 year ago.

Well, sorry but no--at this point there is nothing that can be done to repair the fistula and even if that could be done, sad to say the damage is already done and there's no way to achieve normal bladder and urethral function at this point

Wish I had better news for you

Expert:  Dr. Y. replied 1 year ago.

The fistula can actually still be repaired. I am a urologist who repairs these types of recurrent fistulas. If you accept a cal from me, I can discuss with you.