Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Simple rectovaginal fistulas.

M K Baig1, R H Zhao, C H Yuen

  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, 3000 West Cypress Creek Road, Fort Lauderdale, FL 33309, USA. mcderme@ccf.org

International Journal of Colorectal Disease
|January 11, 2001
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Two cases of anterior chamber displacement after XEN gel stent implantation].

[Zhonghua yan ke za zhi] Chinese journal of ophthalmology·2025
Same author

[Effectiveness and pregnancy outcomes of emergency cervical cerclage versus cerclage with cervical length <10 mm: a retrospective study].

Zhonghua fu chan ke za zhi·2025
Same author

Ultrafast Picometer-Resolved Molecular Structure Imaging by Laser-Induced High-Order Harmonics.

Physical review letters·2024
Same author

Anal dysplasia as an incidental finding: the importance of specimen evaluation.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2020
Same author

[Construction and analysis of competitive endogenous RNA regulatory network related to gastric cancer].

Zhonghua zhong liu za zhi [Chinese journal of oncology]·2020
Same author

Validation of the size morphology site access score in endoscopic mucosal resection of large polyps in a district general hospital.

Annals of the Royal College of Surgeons of England·2019
Same journal

Diagnostic yield of the one-year surveillance colonoscopy after curative colorectal cancer resection.

International journal of colorectal disease·2026
Same journal

Malignancy as a rising contributor to mortality in patients with inflammatory bowel disease: a population-based epidemiological study.

International journal of colorectal disease·2026
Same journal

Emergency left side colectomy and primary anastomosis with or without diverting stoma: a comparative study.

International journal of colorectal disease·2026
Same journal

The 'other' colonic polyposis syndromes-evolving insights and guidance for endoscopists.

International journal of colorectal disease·2026
Same journal

Prognostic value of D3 lymph node dissection and nutritional status in colorectal cancer patients aged 80 years and older.

International journal of colorectal disease·2026
Same journal

Development and internal validation of a nomogram to predict colorectal cancer risk in patients with diverticulitis.

International journal of colorectal disease·2026
See all related articles

Obstetric trauma is the leading cause of simple rectovaginal fistulas (RVF). The endoanal advancement flap is a successful initial treatment for RVF, even after failed primary repairs, especially when combined with sphincteroplasty.

Area of Science:

  • Colorectal Surgery
  • Gynecologic Surgery
  • Fistula Treatment

Background:

  • Rectovaginal fistulas (RVF) can result from various causes, including obstetric trauma and infection.
  • Previous anal surgery is a significant risk factor for RVF development.
  • Accurate diagnosis and effective surgical management are crucial for successful RVF treatment.

Purpose of the Study:

  • To investigate the causes, diagnostic methods, and surgical outcomes of simple rectovaginal fistulas (RVF).
  • To evaluate the efficacy of the endoanal advancement flap as a primary and repeat surgical intervention for RVF.
  • To determine the optimal surgical approach, including the role of sphincteroplasty, for RVF management.

Main Methods:

  • Retrospective review of 19 patients diagnosed with simple RVF between December 1988 and July 1998.

Related Experiment Videos

  • Analysis of diagnostic investigations, including endoanal ultrasound, and surgical procedures performed.
  • Assessment of treatment outcomes, recurrence rates, and follow-up data.

    • Main Results:

    • Obstetric trauma (79%) was the most common cause of RVF, followed by infection (21%).
    • Endoanal ultrasound identified fistulas in 73% of cases and concomitant sphincter injury in 60%.
    • The endoanal advancement flap achieved a 74% success rate for complete symptom resolution, with successful repair of two out of three recurrences.

    Conclusions:

    • The endoanal advancement flap is the recommended initial surgical treatment for simple, low rectovaginal fistulas.
    • This procedure demonstrates efficacy even in cases of failed primary repair.
    • Combining the advancement flap with sphincteroplasty is advised when an anal sphincter defect is present.