Seminars in Colon & Rectal Surgery
Volume 18, Issue 1 , Pages 69-78, March 2007

Rectovaginal Fistula

  • Patricia L. Roberts

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Patricia L. Roberts, MD, Staff Surgeon, Department of Colon and Rectal Surgery, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805.

Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, MA.

Rectovaginal fistulas are vexing problems, causing considerable distress to the patient and challenging the skill of the surgeon. They comprise approximately 5% of anal fistulas and most commonly are caused by fourth-degree perineal tears or postoperative infection associated with childbirth. Thorough evaluation of the etiology and characteristics of the fistula help to guide surgical decision making and optimize the outcome after surgery.

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 Roberts PL. Rectovaginal Fistula. Seminars in Colon and Rectal Surgery. 9:198-207,1998

 Although representing about 5% of anal fistulas, rectovaginal fistulas are accompanied by such distressing and potentially socially debilitating symptoms that most require operation. This article provides a comprehensive review of treatment of this challenging problem; the operative illustrations are excellent and particularly helpful.

PII: S1043-1489(06)00118-7

doi:10.1053/j.scrs.2006.12.011

Seminars in Colon & Rectal Surgery
Volume 18, Issue 1 , Pages 69-78, March 2007

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