| Discussion in 'All Categories' started by Amita Das - Aug 11th, 2013 5:02 pm. | |
Amita Das
|
In november last year TLH was done on me. For a month everything was fine, however, a foul smelling discharge through vagina started mid of jan. I was initially told that my internal stitches were taking time to heal and given a lot of antibiotics. The problem kept getting severe and I suffered from severe pain. The cat scan and MRI done in mid of Feb showed a large abscess It was subsequently drained on end of feb (it contained thick mass) , no malignancy was reported though in biopsy. I was relived of pain but the discharge through vagina continued. I was kept on antibiotics. Daily cleaning was also carried out but that did not heal it. I was then referred to other doctors, an EUA done on April end this year confirmed that I had vasico vaginal fistula. The tissues being necrotic I was kept on catheter. I could tolerate the catheter only for about six weeks, blood in urine started coming, I suffered from excessive pain and had infection. The catheter was removed did a course on anti biotics and the pain has subsided. However I have lost the sensation of urine and have to wear diapers. I feel (am not sure ) that the vaginal discharge is almost gone. After the pain subsided I got the cat scan done again. It shows clearly that I have a vasico vaginal fistula of 2.5 mm size. The abscess size seems to have reduced but it is pressurizing my ureter and the kidneys are showing signs of hydronephrosis. The cat scan (all the three feb, April and August 9) also show a lesion in the wall of the bladder. The size seems to have reduced in the last scan. I am a single women 48 years of age, so the access through vagina has a very limited space. The doctors are therefore now reluctant to repair the fistula. What is your suggestion to this. Should I live with the discomfort whole of my life or do I have to go for a surgery and what kind of surgery. I have gone through so much pain and am very scared of surgery related complications now. A simple TLH has landed me in so much trouble that I do not have the courage of taking any chances any more. What is your suggestion ? |
|
re: vasicovaginal fistula
by Dr J S Chowhan -
Aug 18th, 2013
9:38 pm
#1
|
|
|
Dr J S Chowhan
|
Dear Anita Das Most of the vesicovaginal fistula should heal itself and as your abscess size is reducing we hope that it should heal slowly. However, you have written that it is pressurizing your ureter and the kidneys are showing signs of hydronephrosis. This is not good and you should get one IVP done. If lesion of wall of bladder is pressurizing the ureter then you may need surgery. To give you complete and proper advice you should contact any good urologist. 2.5 mm fistula can heal slowly most of the time but hydonephrosis is not good. Only thing you should do at this time is that please remain in contact with a urologist and follow his advice. With regard J S Chowhan |
Accessing Expertise Anywhere: Free Online Medical Advice by World Laparoscopy Hospital
In an age where information is at our fingertips, the World Laparoscopy Hospital is taking the concept of accessibility and expertise to a whole new level. This renowned medical institution is offering a valuable service that transcends geographical boundaries - free online medical advice.
The Power of Digital Health
The digital revolution has significantly transformed the way we access healthcare information and connect with medical professionals. World Laparoscopy Hospital has harnessed this power to provide a platform where individuals from around the world can seek medical guidance from top-notch experts without leaving their homes.
The Importance of Medical Advice
Medical advice is a fundamental aspect of healthcare. It serves as a bridge between patients and the knowledge and experience of healthcare professionals. Timely and accurate medical advice can be a lifeline, offering reassurance, guidance, and potentially life-saving information.
World Laparoscopy Hospital: A Beacon of Medical Excellence
World Laparoscopy Hospital is globally recognized for its excellence in Minimal Access Surgery and surgical training. The institution's commitment to innovation, research, and patient care is evident in its mission to extend free online medical advice to those in need.
Key Features of World Laparoscopy Hospital's Online Medical Advice Service:
-
Expertise Across Specialties: The hospital boasts a roster of expert physicians, surgeons, gynecologists, urologists, and pediatric surgeons. This diverse range of specialists ensures that individuals can receive advice on a wide spectrum of medical issues.
-
Accessibility: The online platform breaks down geographical barriers. Patients from any corner of the world can access this service, making it especially beneficial for those in remote or underserved areas.
-
Convenience: Online medical advice is available 24/7, providing the convenience of seeking guidance at any time, day or night. This accessibility is particularly crucial for urgent medical queries.
-
Privacy: World Laparoscopy Hospital maintains strict patient confidentiality, ensuring that sensitive medical information remains secure.
-
Multilingual Support: Recognizing the global nature of its audience, the hospital offers support in multiple languages, enhancing accessibility for non-English speakers.
-
Holistic Guidance: The hospital's expert physicians provide comprehensive advice, addressing not only immediate concerns but also offering insights into long-term health and well-being.
Empowering Patients
The provision of free online medical advice aligns with World Laparoscopy Hospital's mission to empower patients and enhance healthcare outcomes. It allows individuals to take an active role in managing their health and seeking expert guidance when needed.
A Source of Reassurance and Knowledge
In times of uncertainty, illness, or when facing medical questions, World Laparoscopy Hospital's free online medical advice offers a ray of hope. It's a source of reassurance, a font of knowledge, and a testament to the potential of digital health in improving lives.
World Laparoscopy Hospital's commitment to providing free online medical advice represents a significant step towards democratizing healthcare. It brings the expertise of world-class medical professionals to anyone with an internet connection, offering guidance, hope, and the promise of better health. In an era defined by connectivity, this institution stands as a beacon of medical excellence in the digital landscape.
If you have a surgical concern and can’t reach a doctor right away, or you’re not sure where else to ask a qualified laparoscopic surgeon, you can get our Medical Help through this Forum of World Laparoscopy Hospital which is available 24 hours a day, Just fill-up the form given and within few our the answer of your question will be posted on this forum. Please keep in mind we answer the question only related to laparoscopic surgery. You can also search and browse thousands of answer already posted on this forum
Using Free Medical Advice Related to Laparoscopic Surgery Service, you can send your questions to our Laparoscopic Surgeon and the Doctor will reply within few hour. It’s as if you are having an email exchange with your very own private surgeon! As soon as you post your question, a qualified laparoscopic surgeon will start answering it. Our expert can help you learn more about the treatment and procedure options available to you for different health problems and diseases.They’ll also give you information to discuss with your doctor when deciding what kind of surgical treatment is best for you.
The Doctor will provide you with the all the medical information you need, and will guide you as you choose a course of action, all from the comfort of your home or office. No more sitting in the waiting room for hours just to get some basic information from your laparoscopic surgeon; no more self-diagnosis after reading pages and pages of confusing and contradictory Online information.
World Laparoscopy Hospital gives you the personalized health information you need to decide on the right treatment for you. The information that you provide will be seen by every person for education and information purpose so please not write your real name.
