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Reply to "concerned about rv fistula"

Thanks for the input Sweetie 1234 (love the name). I had an MRI about a month ago which showed two tracts - one from the connection to the vagina and the other is  a tract that does not appear to go all the way through. I saw the surgeon yesterday and the plan is to admit me in January to explore  to see exactly what we're dealing with (pouchogram, probe under sedation and another MRI to rule out Crones (which I don't think is the case). It will depend on the findings but it appears the first course of action is likely a flap advancement (ya, I talk like I know what I'm talking about!). He did say that he would likely start there and hopefully it's successful. If not, he spoke about a pouch revision which would require going to Toronto. I had always thought that going back to an ileostomy bag would be a last choice but would end the symptoms if need be.It appears that it would not. It is obvious the discharge is mucous and not stool and, therefore, the mucous would still be there even with the bowel detached. I am hoping for the best. 

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