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. 2010 Jun;23(2):99-103.
doi: 10.1055/s-0030-1254296.

Rectovaginal fistulas

Teresa H Debeche-Adams  1 , Jaime L Bohl
Affiliations

Rectovaginal fistulas

Teresa H Debeche-Adams et al. Clin Colon Rectal Surg. 2010 Jun.

Abstract

Rectovaginal fistulas are abnormal epithelial-lined connections between the rectum and vagina. They can be quite bothersome to both the patient and the surgeon due to their irritating and embarrassing symptoms and high failure rate after repair. An individualized, systematic approach to these fistulas based on their size, location, and etiology provides a more concise treatment plan. Treatment options of medical therapy, advancement flaps, plugs, fistula ligation, and tissue interposition are discussed.

Keywords: Rectovaginal fistula; advancement flap; fistulotomy.

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Figures

Figure 1
Figure 1
Transrectal ultrasound image demonstrating a fistula highlighted with hydrogen peroxide.
Figure 2
Figure 2
Lateral view of contrast rectal study demonstrating contrast in vagina (rectovaginal fistula).
Figure 3
Figure 3
Endorectal advancement flap.
See this image and copyright information in PMC

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