VAAFT surgery for fistula

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Fistuvictim
New Member


Date Joined Feb 2013
Total Posts : 10
   Posted 2/13/2013 2:53 PM (GMT -6)   
Hello,

I am very new to this forum. Recently was diagnosed with a fistula in ano and have surgery planned tomorrow to put in a draining seton. The decision to go with the seton was mainly as we are trying to get pregnant and the surgeon suggested having a draining seton will ensure no further abscess. He suggested I could look into corrective surgery options after I have had a child. Since I don't have chrons or other bowel disease diagnosed yet he felt pretty positive that the seton should help me heal by itself but that is to see.

Couple questions: Has anyone been trying to get pregnant while having a draining seton? Will the seton limit physical activity for me in anyway? I have a single high transpincteric fistula with the opening very close to the anus.

Secondly, I have been researching on VAAFT as an option and have spoken with 3 surgeons in India who feel very confident of helping me. My issue is since I do want to get pregnant I cannot afford to have a procedure fail and land up with abscess with a child in my belly. Has anyone been brave enough to try VAAFT yet? Has it worked?

Any advice on living a normal life after a seton and success rate for VAAFT is greatly appreciated.

scifigal2k
Veteran Member


Date Joined May 2012
Total Posts : 1255
   Posted 2/13/2013 5:11 PM (GMT -6)   
I have a draining seton that is inside a rectovaginal fistula. Sometimes it aches during or after sex if the angle was wrong or was too rough or something like that. Other than that, I honestly don't even notice it most of the time. I was scheduled to get a repair surgery for a couple of weeks ago but then I got pregnant (I'm now 15 weeks along). I don't know what VAAFT is but you just want to be careful with doing anything while you're pregnant. Some procedures can temporarily or permanently cause you to have an ileostomy.

Also, if you do get pregnant, since you've already had a fistula you'll probably want to get a c-section.
CD 2010, Fistula, Pancreatitis, C. Diff.
Current: Remicade
Previous: Prednisone, Imuran, and Asacol

"These things I have spoken unto you, that in me ye might have peace. In the world ye shall have tribulation: but be of good cheer; I have overcome the world." John 16:33

Fistuvictim
New Member


Date Joined Feb 2013
Total Posts : 10
   Posted 2/13/2013 5:18 PM (GMT -6)   
Oh that's great. It gives me great hope to know that I could have a baby with an active fistula. One of the surgeons I consulted with told me that even with the seton you always have a chance of infection which is not good for pregnancy. That freaked me out.

Yeah I understand the possibility of a c-sec if you have a fistula but that does not bother me as long as I can have a full term healthy pregnancy. I am more like to try a cutting seton or Ayurveda if at all I am able to tolerate the seton once I have it put in.
34 yrs old female.

No bowel disease diagnosis. One anal fistula resulting from large abscess.

scifigal2k
Veteran Member


Date Joined May 2012
Total Posts : 1255
   Posted 2/13/2013 7:51 PM (GMT -6)   
Lol, well, we got pregnant on accident. I was going to wait about 6 more months to see if things could heal, but I somehow got pregnant even while on the pill! I was secretly thrilled about it. :) There is a chance of infection, yes, but since I do have Crohn's even if the fistula were healed, another one could show up while I was pregnant, you know?
CD 2010, Fistula, Pancreatitis, C. Diff.
Current: Remicade
Previous: Prednisone, Imuran, and Asacol

"These things I have spoken unto you, that in me ye might have peace. In the world ye shall have tribulation: but be of good cheer; I have overcome the world." John 16:33

Fistuvictim
New Member


Date Joined Feb 2013
Total Posts : 10
   Posted 2/13/2013 9:21 PM (GMT -6)   
Thanks and Congratulations on your pregnancy!! It's time to enjoy this time in your life.
34 yrs old female.

No bowel disease diagnosis. One anal fistula resulting from large abscess.
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