Rectovaginal fistulas: current surgical management
- PMID: 20011383
- PMCID: PMC2780174
- DOI: 10.1055/s-2007-977487
Rectovaginal fistulas: current surgical management
Abstract
Rectovaginal fistulas represent an often devastating condition in patients and a challenge for surgeons. Successful management of this condition must take into account a variety of variables including the etiology, size, and location of the fistula. Etiologies include obstetrical trauma, inflammatory bowel disease, malignant processes, and complications of radiation therapy and surgery. Repair options include local repairs, tissue transfer techniques, and abdominal operations.
Keywords: Fistula; mucosal advancement flap; obstetrical trauma; rectovaginal.
Similar articles
-
Management of rectovaginal fistulas and patient outcome.Expert Rev Gastroenterol Hepatol. 2017 May;11(5):461-471. doi: 10.1080/17474124.2017.1296355. Epub 2017 Mar 1. Expert Rev Gastroenterol Hepatol. 2017. PMID: 28276809 Review.
-
Gracilis Flap Repair for Reoperative Rectovaginal Fistula.Dis Colon Rectum. 2023 Jan 1;66(1):113-117. doi: 10.1097/DCR.0000000000002249. Epub 2022 Oct 25. Dis Colon Rectum. 2023. PMID: 34759248
-
[Postobstetric rectovaginal fistula: surgical treatment using endorectal advancement flap].Cir Cir. 2009 May-Jun;77(3):201-5. Cir Cir. 2009. PMID: 19671272 Spanish.
-
Are there predictors of outcome following rectovaginal fistula repair?Dis Colon Rectum. 2010 Sep;53(9):1240-7. doi: 10.1007/DCR.0b013e3181e536cb. Dis Colon Rectum. 2010. PMID: 20706066
-
Anal sphincter integrity and function influences outcome in rectovaginal fistula repair.Dis Colon Rectum. 1998 Sep;41(9):1141-6. doi: 10.1007/BF02239436. Dis Colon Rectum. 1998. PMID: 9749498 Review.
Cited by
-
Accurate anatomic repair of obstetric anal sphincter damage or rectovaginal fistula aided by prior ultrasonograghy: a cohort study.Ann Med Surg (Lond). 2023 Apr 25;85(6):2319-2323. doi: 10.1097/MS9.0000000000000614. eCollection 2023 Jun. Ann Med Surg (Lond). 2023. PMID: 37363522 Free PMC article.
-
Robotic-Assisted Transanal Repair of a Rectovaginal Fistula.J Gastrointest Surg. 2016 Dec;20(12):2106. doi: 10.1007/s11605-016-3168-1. Epub 2016 May 24. J Gastrointest Surg. 2016. PMID: 27220332
-
Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy.Obstet Gynecol Int. 2018 May 6;2018:5298214. doi: 10.1155/2018/5298214. eCollection 2018. Obstet Gynecol Int. 2018. PMID: 29853904 Free PMC article.
-
Puborectal sling interposition combined with seton drainage for pouch-vaginal fistula after rectal cancer surgery with colonic J pouch-anal reconstruction: report of a case.Int Surg. 2014 Nov-Dec;99(6):710-3. doi: 10.9738/INTSURG-D-13-00187.1. Int Surg. 2014. PMID: 25437575 Free PMC article.
-
Rectovaginal Fistulas, Their Surgical Management, and Outcomes: An Indian Experience.Cureus. 2025 Jun 19;17(6):e86400. doi: 10.7759/cureus.86400. eCollection 2025 Jun. Cureus. 2025. PMID: 40688901 Free PMC article.
References
-
- Fenner D E, Genberg B, Brahma P, Marek L, DeLancey J O. Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States. Am J Obstet Gynecol. 2003;189:1543–1549. - PubMed
-
- Christianson L M, Bovbjerg V E, McDavitt E C, Hullfish K L. Risk factors for perineal injury during delivery. Am J Obstet Gynecol. 2003;189:255–260. - PubMed
-
- Hudelist G, Gelle'n J, Singer C, et al. Factors predicting severe perineal trauma during childbirth: role of forceps delivery routinely combined with mediolateral episiotomy. Am J Obstet Gynecol. 2005;192:875–881. - PubMed
-
- Venkatesh K S, Ramanujam P S, Larson D M, Haywood M A. Anorectal complications of vaginal delivery. Dis Colon Rectum. 1989;32:1039–1041. - PubMed