Advertisement

Rectovaginal Fistulas

  • M.-C. Marti
Chapter

Abstract

Rectovaginal fistulas are located above the dentate line and should therefore be distinguished from anovagi-nal fistulas. These lesions are rare and account for less than 5% of all anorectal fistulas. They result in very severe and distressing vaginal symptoms which vary according to the underlying disease: fecal soiling and smell; discharge; vaginitis; passage of flatus and even feces, especially during diarrhea; discharge of mucus or blood.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Beecham CT (1972) Recurring recto-vaginal fistula. Am J Obstet Gynecol 40:323Google Scholar
  2. 2.
    Belt RL, Belt RL Jr (1969) Repair of anorectal vaginal fistula utilizing segmental advancement of the internal sphincter muscle. Dis Colon Rectum 12:99–104PubMedCrossRefGoogle Scholar
  3. 3.
    Bentley RJ (1973) Abdominal repair of high rectovaginal fistula. J Obstet Gynecol Br Commonw 80:364–367CrossRefGoogle Scholar
  4. 4.
    Bricker EM, Johnston WD (1979) Repair of postirradiation rectovaginal fistula and stricture. Surg Gynecol Obstet 148:499–506PubMedGoogle Scholar
  5. 5.
    Byron RL, Ostergard DR (1969) Sartorius muscle interposition for the treatment of radiation-induced vaginal fistula. Am J Obstet Gynecol 104:104–107PubMedGoogle Scholar
  6. 6.
    Cuthbertson AM, Buzzart AJ (1973) Pullthrough resection of the rectum with vagino-cystoplasty for repair of a rectovesi-covaginal fistula. Aust NZ J Surg 43:72–78CrossRefGoogle Scholar
  7. 7.
    Faulconer HT, Muldoon JP (1975) Rectovaginal fistula in patient with colitis. Dis Colon Rectum 18:413–415PubMedCrossRefGoogle Scholar
  8. 8.
    Fazio VW, Tjandra JJ (1992) Pouch advancement and neoileoanal anastomosis for anastomotic stricture and ano-vaginal fistula complicating restorative proctocolectomy. Br J Surg 79:694–696PubMedCrossRefGoogle Scholar
  9. 9.
    Givel JC, Hawker P, Allan RN, Alexander-Williams J (1982) Enterovaginal fistulas associated with Crohn’s disease. Surg Gynecol Obstet 155:494–496PubMedGoogle Scholar
  10. 10.
    Given FT (1970) Rectovaginal fistula: a review of 20 years’ experience in a community hospital. Am J Obstet Gynecol 108:41–46PubMedGoogle Scholar
  11. 11.
    Goldberg SM (1980) Rectovaginal fistula. In: Goldberg SM, Gordon PP, Nivatvongs S (eds) Essentials of anorectal surgery. Lippincott, Philadelphia, pp 316–332Google Scholar
  12. 12.
    Goligher JC (1975) Rectovaginal fistula and irradiation proctitis and enteritis. In: Goligher JC (ed) Surgery of the anus, rectum and colon. Thomas, SpringfieldGoogle Scholar
  13. 13.
    Greenwald JC, Hoexter B (1978) Repair of rectovaginal fistula. Surg Gynecol Obstet 146:443 445Google Scholar
  14. 14.
    Graham JB (1965) Vaginal fistulas following radiotherapy. Surg Gynecol Obstet 120:1019–1030PubMedGoogle Scholar
  15. 15.
    Hesterberg R, Schmidt WU, Muller F et al (1993)Treatment of anovaginal fistulas with an advancement flap in patients with Crohn’s disease. Int J Colorectal Dis 8:51–54Google Scholar
  16. 16.
    Hibbard LT (1978) Surgical management of rectovaginal fistulas and complete perineal tears. Am J Obstet Gynecol 130:139–147PubMedGoogle Scholar
  17. 17.
    Laird DR (1948) Procedures used in treatment of complicated fistulas. Am J Surg 76:701–708PubMedCrossRefGoogle Scholar
  18. 17.
    Lawson J (1972) Rectovaginal fistulae following difficult labour. Proc R Soc Med 65:283–286PubMedCentralPubMedGoogle Scholar
  19. 18.
    Lescher TC, Pratt JH (1967) Vaginal repair of the simple rectovaginal fistula. Surg Gynecol Obstet 124:1317–1321PubMedGoogle Scholar
  20. 19.
    Marks G (1976) Combined abdominotranssacral reconstruction of radiation injured rectum. Am J Surg 131:54–59PubMedCrossRefGoogle Scholar
  21. 20.
    Mason AY (1974) Transsphincteric surgery of the rectum. Prog Surg 13:66–97PubMedGoogle Scholar
  22. 21.
    Mattingly RF (1977) Anal incontinence and rectovaginal fistulas. In: Te Linde RW (ed) Operative gynecology, 5th edn. Lippincott, PhiladelphiaGoogle Scholar
  23. 22.
    Mengert WF, Fish SA (1955) Anterior rectal wall advancement: technic for repair of complete perineal laceration and rectovaginal fistula. Obstet Gynecol 5:262–265PubMedGoogle Scholar
  24. 23.
    Morrison JC, Gathright JB, Ray JE et al (1989) Results of operation for rectovaginal fistula in Crohn’s disease. Dis Colon Rectum 32:497–499PubMedCrossRefGoogle Scholar
  25. 24.
    Musset R (1978) Les fistules recto-vaginales. Encycl Med Chir Paris Techniques chirurgicales 4.4.06.41870Google Scholar
  26. 25.
    Noble GH (1902) A new operation for complete laceration of the perineum designed for the purpose of eliminating danger of infection from the rectum. Trans Am Gynecol Soc 27:357Google Scholar
  27. 26.
    Nowacki MP (1991) Ten years of experience with Park’s coloanal sleeve anastomosis for the treatment of post-irradiation rectovaginal fistula. Eur J Surg Oncol 17:563–566PubMedGoogle Scholar
  28. 27.
    Parks AG, Allen CL, Frank JD et al (1978) A method of treating postirradiation rectovaginal fistulas. Br J Surg 65:417–421PubMedCrossRefGoogle Scholar
  29. 28.
    Rex JC Jr, Khubchandani IT (1992) Rectovaginal fistula: complication of low anterior resection. Dis Colon Rectum 35:354–356PubMedCrossRefGoogle Scholar
  30. 29.
    Russel TR, Gallagher DM (1977) Low rectovaginal fistulas. Approach and treatment. Am J Surg 134:13–18CrossRefGoogle Scholar
  31. 30.
    Schwartz J, Rabinowitz H, Rosenfeld V et al (1992) Rectovaginal fistula associated with fecal impaction. J Am Geriatr Soc 40:641PubMedGoogle Scholar
  32. 31.
    Shmesh EI, Kodner I J, Fry RD et al (1988) Endorectal sliding flap repair of complicated anterior anoperineal fistulas. Dis Colon Rectum 32:22–24CrossRefGoogle Scholar
  33. 32.
    Scott NA, Nair A, Hughes LE (1992) Anovaginal and rectovaginal fistula in patents with Crohn’s disease. Br J Surg 79:1379–1380PubMedCrossRefGoogle Scholar
  34. 33.
    Tuxen PA, Castro AF (1979) Rectovaginal fistula in Crohn’s disease. Dis Colon Rectum 22:58–62PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • M.-C. Marti

There are no affiliations available

Personalised recommendations