what is Rectovaginal fistula ?

Rectovaginal fistula means abnormal bonding between the lower intestine (rectum) and the vagina. The contents of the intestine are then removed from the fistula and the gases or stool are transferred to the vagina. Therefore, it can be removed from the vagina with the disease of intestinal gas and stool.

Rectovaginal fistula may result from the following:

Crohn’s disease or other inflammatory bowel disease during childbirth. Radiation therapy in the pelvic floor pelvis.

This disease may cause emotional distress and physical distress and may result in self-esteem from the patient. So if you have signs and symptoms of a rectovaginal fistula, be sure to refer to your doctor even if it’s not a shame to you. Some recto-vaginal fistulas may be self-contained. But many of them need surgical repair.
what is Rectovaginal fistula ?

Rectovaginal fistula symptoms:

Depending on the size of the fistula and its location, you may experience minor symptoms or significant problems. Signs and symptoms of recto-vaginal fistula include:

Discharge of gas, feces or pus from vaginitis from vagina. Prostatic infections of the urinary system or vaginitis. Pain in the vagina and the area between the vagina and the anus (mediastinum). Anal pain. When should I contact a doctor when intercourse occurs?

If you experience any of the symptoms and symptoms of a rectovaginal fistula, be sure to refer to your doctor. The fistula may be the first warning of a more serious problem, such as contaminated area and abscess or cancer formation. Detecting the cause of the fistula can help the doctor determine a treatment plan.

The cause of this disease:

Rectovaginal fistula may occur as a result of one of the following disorders: Generation of injuries at birth:
Natural birth events are the most common cause of rectovaginal fistula. These incidents include:

Pelvic floor parks that spread to the gut after infection after episiotomy. In this method, a cut is made to enlarge the pelvic floor during vaginal delivery. If the delivery is long and hard, this cut is usually used.

This type of fistula may damage the anal sphincter, which includes muscle rings at the far end of the intestine and helps keep you in the stool.

Crohn’s disease:

The second most common cause of rectoaginal fistula is Crohn’s disease, an inflammatory bowel disease. This condition infects the gastrointestinal tract. Many women with rectovaginal frontal coronary disease do not. But Crohn’s disease can increase the risk of developing the disease.

Rectovaginal fistula treatment:

Rectovaginal fistula symptoms can be distressing. But treatment is often effective. The treatment of the fistula depends on the cause, size, location and effect on surrounding tissues.


One of the following drugs is prescribed for the treatment of fistula or preparation for surgery:
Antibiotics: If an area around the fistula is infected, it is recommended to take an antibiotic course before surgery. Antibiotics are also effective for women with Crohn’s disease that are affected by fistula.


Helps reduce inflammation and healing of fistula in women with Crohn’s disease.

surgery Most people with recto-fistula need surgery to close or correct it. Before surgery, the skin and tissues should be healthy throughout the fistula without infection or inflammation. Therefore, it is usually recommended to wait three to six months before the surgery to ensure the healthy tissue around.

Fistula closure surgery is usually done by a gynecologist, a colorectal surgeon, or both. The goal of this treatment is to remove the fistula and reinsert healthy tissues. Surgical options include: Sewing the anal fistula plug or patching the biologic tissue into the fistula: This will cause the fistula to heal.

Tissue transplantation: In this method, tissue from a part of the body near the healthy tissue is grafted throughout the fistula.

Correcting the muscles of the anal sphincter: If the fistula or tissue is damaged by irradiation or Crohn’s disease, this surgical technique is used.

Performing colostomy before correcting the fistula: In complicated cases or recurrence of the disease, a diverting hole in the abdomen is created in the rectum to divert the stool. Many times, this surgery is not needed. But in the following circumstances it may need to:

If the tissue is damaged. There is already a wound. Often Surgery is done. There is a chronic infectious disease. There is a significant fecal outbreak. There is a cancerous tumor or abscess.

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