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Fed up - jpouch and fistula

6 replies

LadyRivers1 · 14/12/2021 22:26

I think I'm just looking to get this down somewhere and have a general whinge.

I had a total colectomy due to ulcerative colitis in 2017, emergency surgery due to a flare up, nearly died and ended up with an end ileostomy. When I was well, I decided to try a jpouch, tbh for no other reason than vanity and hey, if you don't try you will never know. I had the jpouch formed and rectum removed in April 2019, left with a loop ileostomy to heal and the jpouch was finally connected in December 2019. Due to the lockdown in March 2020, I never got my check up.

In May 2020, I developed an abscess that was diagnosed as a Bartholin cyst, got very infected and made me very ill, ended up being admitted for IV antibiotics and for it to be drained. I did query at the time if this could be a fistula, told them about my history with my jpouch but because I was admitted under gynae as opposed to GI they were more focused on the gynae issue.

A few weeks after this, I started passing gas and faecal matter out of my vagina. I went to my GP who referred me back to gynae, and to be fair they were fantastic. Listened to my concerns, and the consultant insisted on getting my GI consultant who formed my jpouch involved, and also referred me for a fluroscopy. I got the fluroscopy pretty quickly (in October last year), and an appointment to finally see my GI consultant was scheduled for December. This was, however cancelled, and wasnt rearranged until July this year after I had to push.

At the appointment in July, I was told that they could not see any evidence of a fistula, and I had to push for further investigation, which he eventually agreed to under GA.

I had an examination under GA at the start of October this year, and lo and behold they found the fistula and inserted a seton stitch. I was just kind of left to figure that out on my own and sent on my way.

Saw my GI consultant today, and he discussed next steps, further surgery to repair the fistula, however he was very clear about the slim rates of success and the possible consequences, faecal incontinence being one of them. I asked if I could just go back to my end ileostomy, which could he done however the fistula would still need to be repaired. He then followed this up by informing me that as of today all his surgeries from now up until February were being cancelled due to resources being diverted because of covid. The earliest I am likely to have surgery is sometime next summer.

I am so tired and fed up. I 100% acknowledge the difficulties the NHS have faced over the past couple of years. But I feel so.....despairing of it all. I feel guilty for being upset about passing gas and faecal matter out of my vagina when there is no risk to my life, and there are people there who do need life saving procedures and these must be prioritised. But.....I'm still going to be shitting out of my vagina in the meantime .

I feel dirty all the time, I feel like I've lost my sexuality, I feel like I've lost control of my body. On top of trying to hold a full time job down, do a part time degree and be a single mum to two teenage girls who have also been through the mill watching their mum go through this. And my DP, who I got together with after my first surgery, he didn't sign up for this (he is my absolute rock though).

If you have got this far, thank you. I think I'm just having a massive pity party tonight and needed to vent in relative anonymity. I'm normally so positive about things, and I WILL pull myself together. Tonight, I just need to despair a bit I think. I have counselling tomorrow, so that will be helpful too.

OP posts:
PatterPaws · 15/12/2021 00:07

I hear what you're saying OP. Sounds miserable. Can you afford to go private?

LadyRivers1 · 15/12/2021 01:42

Thanks for responding @PatterPaws. Unfortunately not. Just have to suck it up for the next few months with the odd whinge about it along the way!

OP posts:
Youngatheart00 · 15/12/2021 01:47

I’m sorry, this sounds so tough. This is one of the reasons I’m so angry about covid. Instances like this where you are struggling so much and can’t access proper care.

If I were in your shoes I’d be the squeaky wheel that gets the oil - keep on at them and explain the impact it is having on your physical and mental health. You might also speak to someone like Chrohns and Colitis U.K. for support.

Wishing you all the best Flowers

AnotherMansCause · 15/12/2021 02:17

The fact that they basically just dismissed your concerns without properly investigating, seems like it fails to meet even a basic level of care. Surely from what you're describing it should have been pretty clear to them in October last year. TBH I'd make a complaint via PALS, not for compensation, but to ask how they are going to learn from this error & prevent future patients suffering. It shouldn't take them a year to find a fistula, after you've specifically asked them to check for one.

JunieSpoony · 15/12/2021 02:28

Wow, OP, that sounds so miserable. Won’t you be at high risk of thrush and vaginal infections? Could that angle help to push for things?

You totally deserve to have a pity party. Just because some people have life-threatening issues doesn’t mean you can’t be justifiably pissed off with this whole situation. Sounds like a bit of a perfect storm—but covid and the underfunded NHS seem to be leading to so many of these perfect storm situations.

I really hope you get the surgery sooner than expected and that it’s successful Flowers

LadyRivers1 · 15/12/2021 10:02

Thank you everyone for responding.

I do feel dismissed and unimportant. My GP and the gynae consultant I saw have both taken my concerns seriously, however where it has fallen down is my colorectal consultant (I forgot the term for it last night so used GI) because he is a huge part of the covid response. Before all this though, my reconnection surgery was cancelled at 4PM on the day I was due to get it, I was left waiting all day in a hospital gown with no food and water. I raised this with PALS at the time, and didn't really get a satisfactory response, and I'm not sure I have the energy for it this time around especially after my discussion with him yesterday. I feel bad complaining when they are clearly up against it, however it goes against all the work I've been doing around how I matter and I am important (this is a whole other thread btw!), but I just feel selfish complaining about it.

The impact on my mental health is huge. My sex life has taken a dive, my confidence has taken a huge knock and I'm starting to push my partner away as he surely deserves more than this and I feel it's not fair on him (although as he keeps telling me he gets to decide what is fair on him and what is right for him).

It completely is the perfect storm isn't it. I can imagine I'm not the only one, and it's scary to think there are people with life threatening conditions who's treatment is being delayed.

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