Rectovaginal Fistula
by
Alexandra Howson, PhD DefinitionRectovaginal fistula is an abnormal connection between the rectum and the vagina. Gas or stool may leak from the bowel into the vagina.
CausesA rectovaginal fistula is caused by an injury to this area. It may be caused by physical trauma or a medical condition. Risk FactorsFactors that may increase your risk of rectovaginal fistula include:
SymptomsSymptoms may include:
DiagnosisYou will be asked about your symptoms and medical history. A physical exam will be done. You may need to see a colon and rectal surgeon. Your bodily structures may need to be viewed. This can be done with:
TreatmentTalk with your doctor about the best plan for you. Treatment options include the following: Rectovaginal Fistula Repair SurgerySurgery is usually needed. It is done to close the opening between the rectum and vagina. Tissue may be taken from another part of the body as a graft. This tissue will help to close the fistula. MedicationsYou may be given antibiotics if the area around the fistula is infected. PreventionThere are no current guidelines to prevent rectovaginal fistula. RESOURCES:American Society of Colon and Rectal Surgeons https://www.fascrs.org The American Congress of Obstetricians and Gynecologists https://www.acog.org CANADIAN RESOURCES:Canadian Society of Colon and Rectal Surgeons http://cscrs.ca Women's Health Matters—Women's College Hospital http://www.womenshealthmatters.ca References:
Anorectal malformations. EBSCO DynaMed Plus website. Available at:
http://www.dynamed...
. Updated February 18, 2017. Accessed January 9, 2018.
Wheeless CR, Roenneburg ML. Rectovaginal fistula repair. Atlas of Pelvic Surgery website. Available at: ...(Click grey area to select URL) Accessed January 9, 2018. Last reviewed November 2018 by
EBSCO Medical Review Board
Daus Mahnke, MD Last Updated: 12/20/2014 |
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