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Does Fistula always show leakage, Please Help Me! Does Fistula always show leakage, Please Help Me!

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  #1  
Unread 06-23-2003, 08:20 AM
Does Fistula always show leakage, Please Help Me!

I am getting closed to 3 weeks post op and a week ago started feeling urgency and frequency to urinate. I had a test for bladder infection, but it was negative. The doctor put me on antiobiotics anyway and examined me for a fistula just in case. He said everything looked fine. (did vaginal exam). He then put me on urispas mediciation for bladder spasms. I seem to be a little better and can go about 2 hours without feeling I need to urinate. At night I'm up the first few hours and then seem to be able to relax and sleep maybe 4 hours without getting up, by morning I feel pretty good, but then I get the whole thing on my mind again. I have worn a panty liner and have found maybe a spot on it here and there not enough to even wet the pad. I know I'm rambling, but I've been having panic attacks because when my symptoms first began someone mentioned a fistula. I am having to take xanac for panic attacks because of this. Once you get the thought of leakage on your mind you can always manage to find a spot of wetness somewhere and convince yourself that it's coming from your vagina. From past experience do you think my doctor would have been able to tell I had a fistula by examination? Would I be leaking more if it were a fistula. Again, I haven't even wet a pad, but I'm driving myself crazy looking for something. Could this be just the after effects of surgery? I have it on my mind all the time and so I always feel like I need to go to the bathroom even when I don't feel a real urgency. Please help me, I think I'm going crazy with worry.
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  #2  
Unread 06-23-2003, 08:56 AM
Does Fistula always show leakage, Please Help Me!

((KYJoanie)),
I'm sorry your experiencing these problems I have no personal experience w/ Fistulas but there is several ((gals)) here who have...I'm sure they will come along shortly & share their experience/advice

In the mean time, here are a few links w/ some info that will hopefully be of some help:

Vesicovaginal Fistula:

http://www.emedicine.com/med/topic3323.htm
http://www.geocities.com/dinimerz/rectovagina
http://www.emedicine.com/med/topic3092.htm
http://www.urologyweb.com/Production...al_Fistula.htm
http://www.sgsonline.org/abs/pa15.htm
http://www.journal-obgyn-india.com/i..._cases_183.htm
http://www.upurology.com/dr_madjar.htm
http://www.mcevoy.demon.co.uk/Medici...ncntUFist.html
http://www.mdbrowse.com/Speciality/Urology/Fistula.htm
http://www.idrc.ca/books/focus/773/bello.html
http://www.medhelp.org/perl6/urology...es/30262a.html
http://www.medhelp.org/forums/urology/archive/2171.html
http://www.sgsonline.org/abs/pp26.htm

Fistula articles, support groups, and resources:

http://www.medhelp.org/HealthTopics/Fistula.html

http://www.mic.ki.se/Diseases/c23.html

http://www.headdocs.com/HealthTopics/Incision.html

http://www.urologytreatment.com/curr...itae_bregg.htm

Good Luck..pls keep us posted...(((hugs)))
  #3  
Unread 06-23-2003, 06:23 PM
Does Fistula always show leakage, Please Help Me!

Hello, KYJoanie,
I have had the same problem that you describe in your post. For the longest time my doc treated me for infections, both BV and yeast and yet I still continued to have a discharge (enough to wear a pantyliner). I always felt "wet". I was tested for a fistula, (the tampon test) which was negative, so 2wks ago doc gave me Detrol LA to try. What do you know, it worked!!! I didn't realize I was having such problems with urgency and frequency until I started taking the Detrol LA. I was never gushing or anything like that, just continuous small leakage all day. I saw my dear doc again today and told him how much better I feel. He explained that the fibroids were probably putting pressure on the bladder and that I had the fibroids for so long the frequent trips to the bathroom just became "normal" for me. He also explained that during the hysterectomy the bladder is moved out of the way and probably became irritated somewhat. He also stated that sometimes it takes awhile for the bladder to settle down. Since my surgery was 6mos ago, he hopes that the medicine will help me get straigtened out very soon, and that I won't need to take it for very long.
Anyway, hang in there, it will get better. You might try asking your doc to switch meds if you don't think the one your taking is helping with the bladder spasms. Feel free to PM me if you have any more questions.
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  #4  
Unread 06-23-2003, 10:14 PM
Does Fistula always show leakage, Please Help Me!

KyJoanie,

Hi! I had a VVF repaired 5 months ago. I am not a dr but your symptoms don't sound like a fistula to me, just an angry bladder.
With a fistula, you would leak alot more than a panty liner could handle! Also, with a fistula, you don't really have any control over the leakage, it's just THERE!

Detrol is a great med, but give yourself another week or so to heal, then if you're still anxious see your dr again and let him know your symptoms aren't going away. Drink LOTS of water-I know you don't think that helps, but it does, along with cranberry juice.

Lots of hugs to you, I know bladder woes aren't fun!

Louise
  #5  
Unread 06-24-2003, 02:15 PM
Does Fistula always show leakage, Please Help Me!

Don't get too worried. I went through the same thing for weeks even thinking I had a fistula and being checked. I had been incontinent prior to my surgery. That is originally why I had it. I am just now at 4 months beginning to be dry most of the time. My MD said almost the same as yours that I was so used to going often prior to surgery that my bladder would have to relearn how to hold urine. I have been on Detrol for awhile too and it can take up to 12 weeks for the Detrol to reach maximum effectiveness according to the insert that came with my sample pack. In the end it seems with a lot of our after surgery problems, time is the best healer. Good luck.
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