Rectovaginal Fistula Repair Treatment in India

James Bhatia, a 58-year-old retired school...

James Bhatia, a 58-year-old retired school principal, had been living with a secret for two years. A history of diverticulitis led to a complicated abscess that was drained, but it left him with a persistent rectovaginal fistula. As a transgender man who had not undergone lower surgery, this created a devastating and deeply private complication. He experienced constant fecal leakage and discharge through his vaginal canal, leading to severe skin irritation, recurrent infections, and a profound sense of bodily betrayal. The smell and fear of accidents made him a prisoner in his own home, severing social ties and plunging him into depression. His gastroenterologist, after confirming the fistula with imaging, referred him to a surgical gastroenterologist specializing in such repairs. The doctor was notably respectful, using James's correct name and pronouns, and explained the laparoscopic repair procedure with great sensitivity. The surgery itself went smoothly. The post-operative recovery in the hospital was challenging due to pain and dietary restrictions, but the nursing staff was supportive. After six weeks of a strict liquid/soft diet and meticulous wound care, the leakage completely stopped. Emotionally, the journey was from shame and isolation to immense relief and reclaiming of his body. While the experience was traumatic, the successful repair allowed James to finally feel whole and secure again, enabling him to re-engage with the world.