This topic is about someone who has been living with a colostomy for 25 years and is now concerned they might have developed a vesicovaginal fistula. This is a condition where there is an abnormal connection between the bladder and the vagina. They are looking for information and experiences from others who might have faced a similar situation.

Here are some helpful pieces of advice and insights:

1. It is important to seek prompt medical imaging, such as cystography, CT, or MRI, to help the surgical team accurately locate and assess the fistula.

2. Consider getting a second surgical opinion. Even if it seems like just a formality, it can confirm the diagnosis and treatment plan, and it is usually worth the time, effort, and possible expense.

3. Make sure to clearly communicate why you suspect the fistula and describe all your symptoms in detail. This will help ensure that the clinician fully understands your concerns.