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Has anyone experienced grotesque swelling (3-5 times normal size) of some of their lady parts in direct relation to an RV fistula? 

Here's a very brief summary of what has occurred. Multiple pelvic infections sprouted in a period of 7-10 days in mid October 2018. First, pouchitis. Then 2-3 days later, a vaginal discharge like a geyser & swelling of the left major labia (it swelled as large as a testicle - very odd and painful!). And 2-3 days later, 2 anal abscesses joined the party. The surgeon said the location of the RV fistula was very obvious during the pouchoscopy, so he placed a draining seton at that time. An MRI revealed no abscess network, but did identify the fistula & seton. 

The inflammation of the left labia has waxed & waned twice since the seton was placed 4 weeks ago. I have been on max doses of cipro & flagyl since November. I wonder why my pouchitis has practically resolved, yet the inflamed lady parts continue to be problematic.

Any input would be greatly appreciated!

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I suffered a bartholins cyst about 5 years ago, things  i’ve never been the same since. It seems whenever I have symptoms of pouchitis I feel pain in that same area where I had the cyst. It finally healed after a drain was placed.  I also easily get a vaginal  infections with burning and itching. I blame all this on my J pouch. Hope your symptoms are much better now !

I’ve had a pouch/vaginal fistula for many years w/ 1 failed repair at Cleveland Clinic. I’ve consulted many top gastros/ IPPA specialty surgeons and leaving the fistula is the best way to keep my pouch intact. Interestingly the fistula appeared shortly after an episode with a ruptured Bartholin Cyst...I’m accepting this and moving on so I don’t let UC steal any more time than it has from me! #strongisthenewbeautiful 

I have been dealing with Bartholin cysts for 2 years and just recently figured out I have an RV fistula. It was the gas coming out of my vagina that was the tell tale sign. This last event was so upsetting - I had the geyser you speak of plus anal leakage and my entire vaginal/perinium area was inflamed.  My OBGYN gave me a script for Amoxycillin until I get seen by the CRS. That made life so much better. I had tried some Flagyl that I still had and it did nothing for the vaginal issues. NO more geyser, no more vaginal inflammation. The Flagyl works on other areas I guess.  I'm going for an MRI this week or next. I'm not sure if I want to do a seton after everything I've read.

Do you have Crohns or UC? I’ve never heard of seton for RV fistula from jpouch. Where are you from? A Colorectal surgeon as far as I now is the only one who’s qualified to repair these but there’s risks involved in the repair. If you’re interested in that type of repair let me know and I’ll give you probably the world’s top jpouch surgeon to consult with.

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