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Hi there,

I wasn't sure where to post this but since I did have an out of hospital birth and because this condition almost never happens in hospitals (because they would have done a C section and not allowed me to labor long), I will post here.

This is NOT to scare anyone into a hospital, because I wouldn't have made any decisions differently and am SO glad I went with my wonderful midwife! I avoided a C because of her and she did a great job with the birth!

I had a 48 hour labor and perhaps started pushing too early (pushed 4.5 hours) and had third degree tears. It looks now like I have a tiny, tiny fistula. It cannot be seen, even by a specialist, and no stool passes through, but gas does.

Has anyone had this, and if so, did you undergo surgery to have it fixed? I'm very scared at the prospect of the surgery, as they knock you out and keep you for two nights... Is it really necessary? Is there another way? Thanks for anyone who knows anything about these!!
 

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Well, actually, I have fistulas from a condition totally unrelated to birth. I have a pilonidal cyst, and I know what you mean about the gas passing through it. I have been living with this condition since January of 2006. You can have them removed, but my colorectal doctor is much more into palliative care than total excision (and I mean excision referring to the whole cyst, which would include the fistulas), so his course of care didn't involve cutting out a huge chunk of bottom. I am just living with them, and honestly, since my last treatment (I had an I&D October '08 on the whole cyst) I have had no issues with it. Hope that helps.
 

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I had a small fistula after dd's birth. The specialist couldn't see it well, but the specialist at the teaching hospital (UCSF) could. For me I was only kept one night and the surgery was not terrible. Although it was not fun to have fixed it really made my life better. Before the repair I was embarassed because of the gas leaking through and after it was so nice not to worry about it. PM me if you have any more questions and I'd be happy to tell you my experience.
 
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