Rectovaginal fistula (leak from the rectum into the vagina)
About Rectovaginal fistula (leak from the rectum into the vagina)
An abnormal connection between the rectum and vagina. This condition can occur with the following conditions: having a baby, surgery, inflammatory bowel disease (Crohnâs disease), and cancer. The primary symptom is the passing of stool or gas from the vagina. It is estimated that 0.1% of childbirths are complicated by a rectovaginal fistula.Symptoms
Passage of gas or stool from the vagina, a foul-smelling vaginal discharge, recurrent vaginal or urinary tract infections, irritation or pain in the vagina, painful sexual intercourse, urgent bowel movements, inability to control bowel movements.Tests & Diagnostics
A history and physical exam will be performed. Diagnosis can be confirmed with one or more of the following tests: vaginogram, barium enema, anorectal ultrasound, anorectal manometry.Common tests: CT Scan, MRI.
Conventional treatment summary
Most patients require surgery. Antibiotics may be administered. If the disorder is secondary to Crohn's disease medicines to reduce inflammation from Crohn's may help.Medical specialties
General Surgery · Obstetrics and Gynecology
This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Rectovaginal fistula (leak from the rectum into the vagina).