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[Severe vaginal discharge following rectal surgery].
L C Burg1, A J A Bremers, J P F A Heesakkers
1Radboudumc, Nijmegen.
Nederlands Tijdschrift Voor Geneeskunde
|March 2, 2018
Summary
Post-rectal surgery, many women experience distressing vaginal discharge. Anatomical changes, not fistulas, are likely the cause, and symptomatic treatment can help manage symptoms.
Area of Science:
- Gynecologic Surgery
- Colorectal Surgery
- Pelvic Floor Anatomy
Background:
- Vaginal discharge is a common and distressing complication for up to 50% of women post-rectal surgery.
- Diagnostic efforts often focus on fistula detection, frequently yielding no explanation for severe discharge.
Observation:
- Three patients presented with severe vaginal discharge post-rectal surgery, with no identifiable cause.
- A literature search was conducted to investigate this phenomenon.
Findings:
- Anatomical alterations following rectal surgery are implicated in causing heavy vaginal discharge.
- Pelvic floor muscle changes and vaginal compression may lead to fluid pooling and subsequent discharge.
Implications:
- This suggests a need to consider anatomical factors in diagnosing post-surgical vaginal discharge.
- Symptomatic management strategies may offer relief for affected patients.
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