Fistulas and Incontinence

What is a fistula and how can it cause incontinence?

A fistula is an abnormal tunnel that forms between two parts of the body that aren’t supposed to be connected. When it involves the rectum or anus—like in rectovaginal or recto-urinary fistulas—it can lead to fecal or urinary incontinence, sometimes both. That means leaking stool or urine without control, and yes, it can feel overwhelming or even isolating. But here’s the thing: it’s more common than people talk about, especially among those who’ve had pelvic radiation, surgeries, childbirth injuries, or chronic diseases like Crohn’s.

The connection between fistulas and incontinence is usually pretty direct. A fistula bypasses normal muscular controls like the anal sphincter or bladder outlet, which can lead to sudden, uncontrollable leaks. Some folks might notice staining in their underwear, while others deal with frequent full accidents. If that’s happening to someone you care for—or if it’s happening to you—it’s not something to brush off. There are ways to manage it and feel like yourself again.

Common symptoms of fistula-related incontinence

Sometimes the signs aren’t obvious right away. People often think they’re dealing with a stubborn infection or just “bad digestion” until the real cause surfaces. With a rectal or anal fistula, there might be leakage of stool or mucus from an opening near the anus. It may also come with pain or swelling around the rectum, constant skin irritation or a rash from the moisture, a feeling of fullness or pressure, or even recurring urinary tract infections when the bladder or urinary tract is involved.

It’s not unusual to feel embarrassed or to delay getting help, but catching it early means fewer complications and better treatment outcomes. And honestly? You’re not alone—plenty of caregivers, partners, and patients are navigating this too.

How are fistulas diagnosed and treated?

Doctors usually start with a physical exam, especially if there’s visible drainage or irritation near the anus. But imaging often plays a big role. An MRI, ultrasound, or CT scan helps map out the tunnel and see where it leads. For rectovaginal or urinary fistulas, specialists like colorectal surgeons or urologists may get involved to assess the full picture.

Surgery is typically the long-term fix, although not every case is straightforward. Some people need staged procedures or even temporary colostomies to give the body time to heal. And after surgery, incontinence might still stick around—especially if the muscles or nerves were affected. That’s where support products come in handy, helping people get through recovery with dignity and comfort.

Living with incontinence after fistula repair

Post-surgery incontinence can feel like a betrayal. You’ve gone through all that, and now there’s still leakage? It’s frustrating, but it’s also common. Nerves don’t bounce back overnight, and scar tissue can make things stiff or slow.

This is where SPC incontinence products really shine. Their high-absorbency quilted underpads—like the 30 x 36 size—reusable underwear, and bladder control items help catch leaks quietly, without drawing attention. For caregivers, that peace of mind matters just as much—less laundry, fewer accidents overnight, and way less stress. Whether you’re caring for an aging parent or a child with complications from congenital fistulas, quality supplies matter.

Tips for managing fistula-related incontinence at home

Managing incontinence caused by a fistula or its repair means building a rhythm that works for you. That might include adjusting diet to avoid foods that bulk up stool too much or irritate the bladder, staying hydrated but spacing out fluids later in the day, and planning your day around restroom access. It’s not about micromanaging—it’s about giving yourself fewer surprises.

Protective garments like SPC reusable underwear help maintain independence—even for folks who want to get back to walking the dog or joining family dinners without fear. SPC incontinence medical supplies are tested for maximum absorbency and comfort, and because they’re reusable, they’re better for your wallet and the planet. Plus, when someone’s managing incontinence long-term, comfort makes a huge difference in quality of life.

When to see a doctor (again)

Even if you’ve already had surgery or been through physical therapy, new leaks or changes in symptoms deserve a second look. Some fistulas recur, especially in people with inflammatory conditions or weakened immune systems. Sometimes, new fistulas develop nearby. If the person you’re caring for starts complaining about new pain, discomfort, or more frequent accidents, trust that instinct. They deserve a check-in.

Doctors can prescribe pelvic floor therapy, medications to bulk or soften stool, or even further repair if needed. No one should have to feel trapped in their own home because they’re afraid of leaking.

Emotional and caregiver support

Caring for someone with incontinence—especially from something as complex as a fistula—can be physically and emotionally draining. It’s not just about the cleanup. It’s the emotional load, the exhaustion, the need for constant planning. But you’re doing something important. You’re giving someone safety, comfort, and dignity.

Let SPC products lighten that load. Their mattress protectors and absorbent pads help protect bedding and furniture without constant washing, and their discreet underwear options make outings more manageable. You deserve products that work, so you can spend more time just being with your loved one—not managing accidents every hour.

At San Pablo Commercial, we're a family-run business dedicated to supporting seniors and caregivers by offering dependable, affordable incontinence supplies. From SPC disposable underpads to reusable underwear and sanitary pads, our range is designed for comfort and confidence. We understand the challenges of managing incontinence and strive to make it easier for you to stay clean, dry, and independent every day.