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Rectovaginal Fistulae.

Bidhan Das1, Michael Snyder2

  • 1Division of Colon and Rectal Surgery, Department of Surgery, University of Texas-Houston, Houston, Texas.

Clinics in Colon and Rectal Surgery
|March 2, 2016
PubMed
Summary
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Rectovaginal fistulae, abnormal connections between the rectum and vagina, cause distressing symptoms. This study reviews diagnostic approaches and surgical interventions for managing these challenging conditions.

Area of Science:

  • Gastroenterology and Gynecology
  • Surgical Innovation

Background:

  • Rectovaginal fistulae are abnormal connections between the rectum and vagina.
  • While some are low anorectal, true rectovaginal fistulae are less common, often stemming from inflammatory bowel disease, trauma, or iatrogenic causes.
  • Symptoms are typically distressing and significantly impact quality of life.

Purpose of the Study:

  • To provide a comprehensive overview of rectovaginal fistulae.
  • To discuss diagnostic strategies and the timing of interventions.
  • To review various surgical techniques for repair, including sphincteroplasty, gracilis flaps, and Martius flaps.

Main Methods:

  • Literature review of diagnostic approaches for rectovaginal fistulae.
  • Analysis of surgical management options, including flap repairs and sphincteroplasty.
Keywords:
Martius flapadvancement flapanovaginal fistulafistula plugrectovaginal fistula

Related Experiment Videos

  • Discussion of special circumstances and considerations in treatment.
  • Main Results:

    • Rectovaginal fistulae present with distressing symptoms, though a few patients may be asymptomatic.
    • Effective diagnosis and timely surgical intervention are crucial for successful management.
    • Various surgical techniques offer solutions, tailored to individual patient needs and fistula characteristics.

    Conclusions:

    • Rectovaginal fistulae require careful diagnostic evaluation and tailored surgical management.
    • Surgical options like sphincteroplasty and flap techniques are vital for restoring function and quality of life.
    • Further research into optimizing surgical outcomes for complex cases is warranted.