Gastrointestinal Disorders
Question #9463
277 days ago
2,312

Fistula - #9463

Neha

Had fistula in ano , had surgery for that , doctor putted a seton and after 45 days she did fistulotomy, after asking my doctor that can I use mensural cup I applied it and after a day I got discharged and at night I found that stool is coming from vagina and after 3-4 hours I experienced heavy bleeding. Visited hospital in emergency. After a mri it is found that I had recto-vaginal fistula. Plastic surgeon did plastic surgery and putted stoma. Now I am experiencing itching and burning sensation in vagina and difficultly in urination may be due to uti. Now what to do. What is the plan for further treatment

Age: 26
Uti
Itching and burning sensation in vagina
100 INR (~1.18 USD)
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Doctors’ responses

A recto-vaginal fistula after fistula surgery is a rare but serious complication. The plastic surgery and stoma were necessary steps to allow the affected area to heal without contamination from stool. The current itching, burning, and difficulty urinating suggest a possible urinary tract infection (UTI) or irritation due to the recent surgery. You should get a urine test (urinalysis and culture) as soon as possible to confirm the infection and start antibiotics if needed. Avoid using any vaginal products or menstrual cups for now, and ensure you maintain hygiene with gentle cleansing using warm water only. Moving forward, your surgical team will monitor how well the recto-vaginal area is healing. Once the tissues have healed completely and inflammation has reduced — usually in 8–12 weeks — your doctors may plan stoma reversal surgery. This step reconnects your bowel to restore normal function. Until then, regular follow-ups with your colorectal surgeon, plastic surgeon, and gynecologist are key. If the symptoms worsen or you develop fever or increasing pain, seek medical attention immediately. Full recovery is absolutely possible with careful post-surgical care.
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