alexa Rectovaginal fistula | China | PDF | PPT| Case Reports | Symptoms | Treatment

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Rectovaginal Fistula

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  • Rectovaginal fistula

    A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina. Passage of gas, stool or pus from the vagina. Foul-smelling vaginal discharge. Recurrent vaginal or urinary tract infections. Irritation or pain in the vulva, vagina and the area between the vagina and anus (perineum) Pain during sexual intercourse.

  • Rectovaginal fistula

    After diagnosing rectovaginal fistula, it is best to wait for around 3 months to allow the inflammation to subside. For low fistulae, a vaginal approach is best, while an abdominal repair would be necessary for a high fistula at the posterior fornix. A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. The entire fistulous tract, along with a small rim of rectal mucosa is incised. The rectal wall is then closed extramucosally.

  • Rectovaginal fistula

    Rectovaginal fistulae to assess variables that influence surgical success and determine its effects on quality of life and sexual function. Sixty-five women were identified at median follow-up of 44.6 months, of which 30 patients (46.2%) were successfully healed. Methods of repair included advancement.

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