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What Does My MRI Scan Report Of Pelvis Indicate?
Question: I have fistula..You have dealt with me before. Can I talk to you again
MY MRI of the Pelvis reads as follows:
A fistula protocol was performed. There is a fistula present extending from the skin within the natal cleft at the 6 o'clock position as clinically described. The fistulous tract extended in a cranial and slightly lateral direction for 3 cm. It also extended anteriorly for 3 cm. The fistula is seen to communicate with the anal wall at the 7 o'clock position. No other significant abnormalities seen.
Conclusion
Fistula in ano extending to insert throught the anal sphincter at the 7 o'clock position.
You were very helpful to me before.
My surgeon want s to do surgery. What do you think?
MY MRI of the Pelvis reads as follows:
A fistula protocol was performed. There is a fistula present extending from the skin within the natal cleft at the 6 o'clock position as clinically described. The fistulous tract extended in a cranial and slightly lateral direction for 3 cm. It also extended anteriorly for 3 cm. The fistula is seen to communicate with the anal wall at the 7 o'clock position. No other significant abnormalities seen.
Conclusion
Fistula in ano extending to insert throught the anal sphincter at the 7 o'clock position.
You were very helpful to me before.
My surgeon want s to do surgery. What do you think?
Brief Answer:
As explained.
Detailed Answer:
Hi.
Nice to meet you again after a long time, last we started conversion was on 26 Feb 2015. Gone through the conversation for reference.
Nice to know that you have undergone the Fistula protocol MRI. This is always indicative and has mentioned the external opening, the tract position well and the internal opening well.
To recapitulate: External opening at 6 0' clock (posterior) - tract goes up and slightly lateral position - for 3 cm - also extend anteriorly for 3 cm - internal opening ''anal wall'' at 7 o'clock position - through the anal sphincter -
(I think you have attached the MRI of the cervical spine inadvertently / may be you wanted to post the Fistula MRI, please post).
MRI is always an ''indicative'' and helps in pre-operative assessment.
May I please what was the opinion of the Surgeon and what exactly is he intending to do; so that we can discuss further.
Fistula can be cured by the surgery alone, hence it should be operated.
Now-a-days we have advanced techniques too like:
- Excision of the tract sparing the internal sphincter, this is done in a traditional way in which maximum of the tract is removed. If by grace, the tract is not traversing through or above the internal sphincter, the tract can be removed
in-toto and sent for the Histo-pathological examination to ascertain
-Another ways is to excise the tract as much as possible, if it is above the internal sphincter, and cut it off and tie at this point so that the sphincter is not disturbed.
-Newer method of endoscopic excision if the tract.
I shall be happy to know what is it that your Surgeon has discussed with you.
Please feel free to communicate and get the clear idea so that the surgery will be successful without any complications.
Awaiting for yours.
Thanks again.
As explained.
Detailed Answer:
Hi.
Nice to meet you again after a long time, last we started conversion was on 26 Feb 2015. Gone through the conversation for reference.
Nice to know that you have undergone the Fistula protocol MRI. This is always indicative and has mentioned the external opening, the tract position well and the internal opening well.
To recapitulate: External opening at 6 0' clock (posterior) - tract goes up and slightly lateral position - for 3 cm - also extend anteriorly for 3 cm - internal opening ''anal wall'' at 7 o'clock position - through the anal sphincter -
(I think you have attached the MRI of the cervical spine inadvertently / may be you wanted to post the Fistula MRI, please post).
MRI is always an ''indicative'' and helps in pre-operative assessment.
May I please what was the opinion of the Surgeon and what exactly is he intending to do; so that we can discuss further.
Fistula can be cured by the surgery alone, hence it should be operated.
Now-a-days we have advanced techniques too like:
- Excision of the tract sparing the internal sphincter, this is done in a traditional way in which maximum of the tract is removed. If by grace, the tract is not traversing through or above the internal sphincter, the tract can be removed
in-toto and sent for the Histo-pathological examination to ascertain
-Another ways is to excise the tract as much as possible, if it is above the internal sphincter, and cut it off and tie at this point so that the sphincter is not disturbed.
-Newer method of endoscopic excision if the tract.
I shall be happy to know what is it that your Surgeon has discussed with you.
Please feel free to communicate and get the clear idea so that the surgery will be successful without any complications.
Awaiting for yours.
Thanks again.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks so much..yes my doctor plans on doing a fistula operation and an eua in july.. is this operation dangerous and do think this is dangerous.. thanks so much
Brief Answer:
EUA is the best decision.
Detailed Answer:
You are most welcome.
If I am taking it correctly- EUA is examination under Anesthesia. This is the best policy as the findings of the MRI and the actual findings on table can be correlated well and the possibility of doing fistulectomy without any touch to the internal sphincter can be done hence having the possibility of cure as well as no complications at all.
NO, this is not at all dangerous. Please get the things cleared again for your apprehensions with the operating Surgeons, many are very considerate, I hope your Surgeon too is.
Every good Surgeon's basic rule is basically to know what should not be done. (A professional secrete of many Surgeons, I am sharing with your today).
So be sure about it , discuss over once again if you need to.
Till then improve hemoglobin, proteins, keep away the stress and anxiety- all these factors really help for best results.
EUA is the best decision.
Detailed Answer:
You are most welcome.
If I am taking it correctly- EUA is examination under Anesthesia. This is the best policy as the findings of the MRI and the actual findings on table can be correlated well and the possibility of doing fistulectomy without any touch to the internal sphincter can be done hence having the possibility of cure as well as no complications at all.
NO, this is not at all dangerous. Please get the things cleared again for your apprehensions with the operating Surgeons, many are very considerate, I hope your Surgeon too is.
Every good Surgeon's basic rule is basically to know what should not be done. (A professional secrete of many Surgeons, I am sharing with your today).
So be sure about it , discuss over once again if you need to.
Till then improve hemoglobin, proteins, keep away the stress and anxiety- all these factors really help for best results.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
thanks.. can both a fistology and eua be done together.. should my surgeon only do an eua...if I do not have this done.. what would happen..i will forward you a scan next week when I have it downloaded
Brief Answer:
Let the things be done as planned, do not worry.
Detailed Answer:
EUA is just an examination under anesthesia and will be done to assess the operability, the strategy to have no complications at all.
This is the standard procedure so nothing to worry about it.
I am sure your Surgeon knows what is the best that can be done.
If surgery is not done the fistula will not close, it will trouble you again and again.
Sure, please send the scan, I shall be happy to assist you.
Take care.
Let the things be done as planned, do not worry.
Detailed Answer:
EUA is just an examination under anesthesia and will be done to assess the operability, the strategy to have no complications at all.
This is the standard procedure so nothing to worry about it.
I am sure your Surgeon knows what is the best that can be done.
If surgery is not done the fistula will not close, it will trouble you again and again.
Sure, please send the scan, I shall be happy to assist you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I will send you the scan next week..thanks XXXX..don t close the query
thanks for all your help
thanks for all your help
Brief Answer:
Most welcome!
Detailed Answer:
Surely, will not close.
Awaiting for the scan
Dr T Chandrakant
Most welcome!
Detailed Answer:
Surely, will not close.
Awaiting for the scan
Dr T Chandrakant
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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