Rectoprostatic Fistula

Ray M 3 months ago

3 replies
45 subscribers
220 views

I was diagnosed with a rectoprostatic fistula in May 25 , following radiotherapy treatment in August 24 , for Prostate cancer, i have been asymptomatic , while on nitrofurantoin antibiotics since being diagnosed.

I’m hoping to avoid surgery to have a defunctioning colostomy, and my colorectal consultant looked into ways that might help heal the fistula, but really to no avail , I’ve had a recent MRI scan (6 months after the original) to see how the fistula is doing, and apparently although no worse , it unfortunately compares the same as before.

Im really reluctant to go down the surgery route if at all possible ! Iam reaching out for anyone out there who can help and advise please ! Many thanks Dave

Linda J - Macmillan 3 months ago

Hello Dave

Thanks for getting in touch with us during what sounds like a very difficult and stressful time for you. I’m Linda, one of the nurses from our support line.

Welcome to the online community. I hope you find it helpful and supportive.

Surgical intervention is commonly used to treat rectoprostatic fistulas. I appreciate that you are looking to avoid this.

Other treatments include dietary & lifestyle changes and the use of antibiotics which you mention.

Some fistulas can be treated with fibrin glue. It may be helpful to discuss with the surgeon, if this is an option for you. You mention that the colorectal consultant has looked into ways to heal the fistula, unfortunately they may have thought of this and ruled it out.

Take care and best wishes,

Linda J. (Cancer Information Nurse Specialist)

You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email or use webchat.

Ref: LJ/AMc

Ray M 3 months ago in reply to Linda J - Macmillan

Thank you Linda J for you’re response , very much appreciated, yes I will discuss the fibrin glue idea with the colorectal consultant, you mentioned dietary and lifestyle changes to help , what particular changes would you advise? , in case there’s something I’ve missed .

many thanks , Dave

Gail H - Macmillan 3 months ago in reply to Ray M

Hello Dave,

Thanks for contacting us. I’m Gail, one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

I suggest you speak to your clinical nurse specialist about the best diet for you, as they have access to your medical records and can provide information tailored to your needs. They can also refer you to a dietician for further support with your diet.

Your hospital may give you written information and advice, which is specific to the difficulties you are experiencing, as this varies from person to person.

I hope this information is useful. You can also contact the Macmillan Support Line 0808 808 0000 (7 day a week, 8am - 8pm) if you would like to speak to us.

Best wishes,

Gail

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Rectoprostatic Fistula