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Suggest Treatment For Colovesical Fistula

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Posted on Mon, 26 Oct 2015
Question: I have a colovasical fiatula. I had a ct scan which confirmed it. I am now sent to see the general surgon at my local hospital. He is a good one and chief of surgery.
I must wait another month till my appointment to see him. What will he do at this first appointment?

Do u think i will need more teats? I dont want to spend more time with this and in hoping he will just book me for surgery.
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Preparation is very important

Detailed Answer:
Hi.
Thanks for your query and elucidate history.
Noted that you have a colo-vesical fistula and your appointment and your concerns.

The success of the surgery of colo-vesical fistula depends upon the preparation before surgery, no hurry, operate in most optimal conditions so that there is no recurrence.

To answer your questions:
What will he do at this first appointment?
> our Surgeon will have a clinical evaluation, examination, review of all your tests; start preparation for the surgery in the form of oral medicines for sterilization of the colon and bladder.
Once the date for surgery is fixed, your bowel and bladder needs preparation for at least 3 days prior to the surgery.

Do u think i will need more tests?
Definitely yes. more test may be required to confirm the optimal conditions that you are in.
You should have normal Hemoglobin, Normal serum proteins and albumin in particular.
Urine culture should be negative.
You should be well hydrated.

Please do not rush though. Give your team of Doctors for you to be in the most favorable condition for the success of the surgery.

I hope this answer helps you, please feel free to ask fir further relevant queries if you need to or if you feel that there is a gap of communication.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (6 hours later)
Thank you. Those things dont sound too bad. I am othwrwise in great health. Do you thing bigger tedts like cytoscopy and colonostomy will br needed. I am really hoping not. I think theae are more for diagnosis but am not sure.

Thanks
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Better be done.

Detailed Answer:
Nice to know that your are in a great health.
Ideally cystoscopy and colonoscopy should be done as it is necessary to see any associated problems.
These tests are not merely for diagnosis but can also have a direct impact on the surgical approach and less of surprises on starting the actual surgery.

Take care, all the best.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (23 minutes later)
Ca you tell me do they sedate for these tests. Are they painful
doctor
Answered by Dr. T Chandrakant (3 minutes later)
Brief Answer:
Certainly yes.

Detailed Answer:
Surely, these procedures are done under sedation or anesthesia and you can certainly request for no pain.
These are painless procedures.
You may please insist for no pain.

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19781 Questions

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Suggest Treatment For Colovesical Fistula

Brief Answer: Preparation is very important Detailed Answer: Hi. Thanks for your query and elucidate history. Noted that you have a colo-vesical fistula and your appointment and your concerns. The success of the surgery of colo-vesical fistula depends upon the preparation before surgery, no hurry, operate in most optimal conditions so that there is no recurrence. To answer your questions: What will he do at this first appointment? > our Surgeon will have a clinical evaluation, examination, review of all your tests; start preparation for the surgery in the form of oral medicines for sterilization of the colon and bladder. Once the date for surgery is fixed, your bowel and bladder needs preparation for at least 3 days prior to the surgery. Do u think i will need more tests? Definitely yes. more test may be required to confirm the optimal conditions that you are in. You should have normal Hemoglobin, Normal serum proteins and albumin in particular. Urine culture should be negative. You should be well hydrated. Please do not rush though. Give your team of Doctors for you to be in the most favorable condition for the success of the surgery. I hope this answer helps you, please feel free to ask fir further relevant queries if you need to or if you feel that there is a gap of communication.