Conversation: The conversation between human and AI assistant.
[|Human|] Hi...Had a partial hyst/bladder lift on March 1st.  Brutal surgery lasting 6 hours.  Lots of endometriosis mess.  Post-op, at week three I began gushing liquid out every time I stood up.  They discovered a bladder fistula.  Had to go on a catheter for 4 weeks to see if it would heal on its own.  Im at week three now with it in, facing a cystoscopy in one week to see if its healed or further surgery is needed to fix it.  Yesterday, I developed unbelievably sharp pains near entrance to catheter.  Doctor says its bladder spasms.  Just took first prescription pill for it and hour ago with no change.  So discouraged.  Pain is sharp and intense, coming in waves.  Is there anything more I can do to make it subside?  Also, what are the chances this 4 week catheter adventure has cured the fistula without more surgery?
[|AI|]  Hello, thanks for using Chat Doctor The bladder epithelium heals very fast and with only mild injuries, healing can occur within a few days. However, in your case with already an established fistula chances of spontaneous healing are reduced compared to if the catheter was placed immediately after the surgery in which case the borders of the fistulas are still fresh. For the pain, it would be necessary to complain to your doctor who could add the dosage of the painkiller or consider changing the catheter. Best regards Chat Doctor.