This topic is about a person who is experiencing a medical issue after having a colostomy due to severe diverticulitis. The person is concerned about passing mucus through the vagina, which might indicate a fistula, as they prepare for a planned reversal surgery. Here are some insights and advice based on similar experiences:

1. After the initial surgery, the person noticed mucus passing through the vagina, similar to what exits the rectal stump. This happens intermittently, sometimes twice a week, and then not at all for weeks.

2. Despite undergoing several tests, including a colonoscopy, CT with a barium enema, and a gynecologic exam, no persistent or recurrent fistula has been conclusively identified.

3. The gynecologist suggested using a 3-month course of topical vaginal estrogen to help soften tissue and potentially close a flap, but the person is hesitant about using hormones.

4. The colorectal surgeon has decided to delay the reversal surgery for three months. If the vaginal mucus continues, an open laparotomy might be necessary instead of the planned laparoscopic procedure.

5. The original fistula was discovered during the initial hospitalization when stool passed through the vagina, leading to emergency surgery.

6. The recovery process was challenging, involving severe debilitation, dizziness, weight loss, and a lack of appetite. However, the person is now feeling better and hopeful about the upcoming reversal.

7. In a similar case, a postoperative vaginal discharge was traced back to an intestinal fissure, which allowed bowel contents to back up and drain through the vagina. This required repeated imaging and a contrast enema to diagnose, followed by corrective surgery to patch the defect.

8. Persistent discharge can be due to a small, hard-to-detect fistula or fissure. It's important to continue seeking definitive imaging, such as a contrast enema, and be prepared for the possibility of additional surgery.

9. It may take consultations with multiple specialists to find the source of the problem. It's crucial to advocate for yourself until you receive a clear diagnosis and resolution.