A rectovaginal fistula is an abnormal connection between the lower portion of your large intestine - your rectum - and your vagina. Bowel contents can leak through the fistula, allowing gas or stool to pass through your vagina. The condition may cause emotional distress and physical discomfort, which can impact self-esteem and intimacy. Talk with your doctor if you have signs and symptoms of a rectovaginal fistula, even if it's embarrassing. Some rectovaginal fistulas may close on their own, but most need surgical repair.
Schwartz DA, et al.
The role of imaging tests in the evaluation of anal abscesses and fistulas. Fecal incontinence.
National Digestive Diseases Information Clearinghouse. Toglia MR. Rectovaginal and anovaginal fistulas.
Anorectal vaginal fistulas (ARVFs) are abnormal communications between the vagina and the lower portion of the gastrointestinal tract. The treatment options for ARVFs are heavily dependent on the type and extent of anatomic involvement and the underlying causes Methods: We report a rare case of isolated rectovaginal laceration sparing anal sphincters and perineumin a year-old woman following her second consensual vaginal intercourse with her new partner. Speculum examination demonstrated a 4 cm laceration on the left posterior vaginal wall forming a fistula between the rectum and vagina, 2 cm above the hymenal ring and not extending to the ARVF such as fistula-in-ano, perianal abscess, and other causes of anal incontinence. The presence of a vaginal discharge may raise the differential possibility of infection rather than ARVF. Symp-toms and physical examination results are often helpful in the diagnostic evaluation. Once an ARVF is suspected, a radiologic investigation can
de la Poza G, et al. Genital fistulas in female Crohn's disease patients: Clinical characteristics and response to therapy. Journal of Crohn's and Colitis.
An anorectal fistula, also called a fistula-in-ano, is an abnormal condition where a person develops a passage from his anus to the surface of the skin surrounding the anus. Alternatively, an anorectal fistula may travel from the anal canal to the vagina, bowel, liver, or other pelvic organs A vaginal fistula is an abnormal opening that connects your vagina to another organ, such as your bladder, colon or rectum. Your doctor might describe the condition as a hole in your vagina that allows stool or urine to pass through your vagina. Vaginal fistulas can develop as a result of an injury, a surgery, an infection or radiation treatment Anovaginal Fistula. An anovaginal fistula is an abnormal communication between the vaginal vault and the anal canal and/or low rectum. There are few diagnoses that cause as much psychological distress and embarassment as an anovaginal fistula. Women present with frequent urinary tract infections, passage of stool when they urinate, and foul Estimated Reading Time: 3 mins
Hoffman BL, et al. Anal incontinence and functional anorectal disorders.
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Colon, rectum, and anus. In: Schwartz's Principles of Surgery.
What Is a Vaginal Fistula? A vaginal fistula is an unusual opening that connects your vagina to another organ. For example, a vaginal fistula can link your vagina to your: Bladder (vesicovaginal
A question for women's health: Chemicals in feminine hygiene products and personal lubricants. Environmental Health Perspectives.
Related Associated Procedures Barium enema Colonoscopy Computerized tomography CT urogram CT scan MRI Needle biopsy Show more associated procedures. Overview A vaginal fistula is an abnormal opening that connects your vagina to another organ, such as your bladder, colon or rectum.
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Show references Ferri FF. Vaginal fistula. In: Ferri's Clinical Advisor Philadelphia, Pa. Accessed Jan. Cameron JL, et al.
The management of rectovaginal fistula. In: Current Surgical Therapy.
Patients who suffer from this malady often do not seek medical treatment for years because of the humiliation. Social interactions are compromised.
It's a horrible existence. Anovaginal fistulae are caused by childbirth injuries such as occur after an episiotomycryptoglandular perianal abscesses, Crohn's disease, and malignancies.
It's important to define the anatomy prior to definitive treatment. A high rectovaginal fistula several centimeters above the dentate line in the proximal rectum usually requires an intra abdominal surgical approach with at least a partial proctectomy.
Lower rectovaginal and most anovaginal fistulae are usually more amenable to a transanal approach. In the CT above, you can see the contrast extravasating from the anal canal to the more anterior vagina note the thin slip of "white" that connects the two structures.
This poor older lady had been suffering from increasingly more debilitating symptoms for years. She hated going out in public.
She avoided lunches with her little old lady friends.
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