Clin Colon Rectal Surg. 2010 Jun;23(2):99-103. doi: 10.1055/s-0030-1254296.
Clinics in colon and rectal surgery
Teresa H Debeche-Adams, Jaime L Bohl
PMID: 21629627 PMCID: PMC2967329 DOI: 10.1055/s-0030-1254296
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