AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and Equipment
Rectovaginal FistulaAnus, ImperforateUrinary FistulaVesicovaginal FistulaRectal FistulaFistulaSurgical FlapsVaginal DiseasesReconstructive Surgical ProceduresRectal DiseasesArteriovenous FistulaEndometriosisLynestrenolIntestinal FistulaCutaneous FistulaBronchial FistulaVascular FistulaRectum
Recto-vaginalObstetric fistulaVesicovaginalVaginaRectumPerianalAbscessRVFsEtiologyComplicationsVaginal fistulaUrinarySphincterComplicationAbnormal connectionSurgeryAnovaginalMalignanciesResectionSymptomsLaparoscopicColostomyTractCrohnSurgicalColorectalUnderwentOccurIntestinalClosureConstipationFecesDilationOperativeAbdominalTamponRectal wallRepairProcedurePatientsOutcomesTreatmentDischargeManagementHospital
Recto-vaginal2
  • Obstetric recto-vaginal fistula: What technique to use? (scirp.org)
  • As a result of the rough insertion of the enema she suffered a recto-vaginal fistula which went undiagnosed by the hospital. (gerardmaloufpartners.com.au)
Obstetric fistula7
  • Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries or in situations where there is inadequate health care, such as in some developing countries. (wikipedia.org)
  • Vesicovaginal fistula, as well as rectovaginal fistula (a passageway between the rectum and the vagina), are classified as types of obstetric fistula. (britannica.com)
  • 2 Ten years ago, while doing her fieldwork for her Master's thesis on the socio-economic impact of obstetric fistula on Sudanese women, Hind Mahmoud spent a great deal of time with the patients and doctors at Dr Abbo's Fistula Centre at Khartoum Teaching Hospital. (openedition.org)
  • Unlike Hind Mahmoud's Master's thesis, the main focus of which was the socio-economic impact of obstetric fistula, this paper addresses the institutional aspects of the running of Dr Abbo's Centre. (openedition.org)
  • The best known, and most common, of these injuries is obstetric fistula formation. (nih.gov)
  • Unlike the postsurgical vesicovaginal fistula, however, which is usually the result of focal trauma to otherwise healthy tissues, the obstetric fistula is the result of a "field injury" to a broad area. (nih.gov)
  • Obstetric fistula : guiding principles for clinical management and programme development / editors: Gwyneth Lewis, Luc de Bernis. (who.int)
Vesicovaginal5
  • A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula . (mottchildren.org)
  • Open hysterectomy is linked to most vesicovaginal tract fistulas. (mottchildren.org)
  • The field injury that is produced by prolonged obstructed labor may result in multiple birth-related injuries in addition to (or instead of) a vesicovaginal fistula. (nih.gov)
  • Vesicovaginal or rectovaginal fistulas are manifestations of advanced disease. (msdmanuals.com)
  • If radiation therapy is contraindicated because of vesicovaginal or rectovaginal fistulas, pelvic exenteration is done. (msdmanuals.com)
Vagina12
  • A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina. (wikipedia.org)
  • Fistulas can also develop as a result of physical trauma to either the vagina or anus, including from rape. (wikipedia.org)
  • A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. (wikipedia.org)
  • A rectovaginal fistula (RVF) is an epithelial-lined tract between the rectum and vagina. (medscape.com)
  • A vaginal fistula involves an abnormal connection between the vagina and another organ nearby, such as the bladder, colon or rectum, causing urine or stool to pass through the vagina. (ohsu.edu)
  • Fistulas can develop between the vagina and several other pelvic organs. (medicalnewstoday.com)
  • A fistula of this type is an opening between the rectum and the newly-created vagina, and can occur if the surgeon dissects too deeply or the patient dilates improperly. (avitale.com)
  • A fistula that has formed in the wall of the vagina is called a vaginal fistula. (mottchildren.org)
  • But a fistula lets urine or feces pass into your vagina. (mottchildren.org)
  • If you have a vaginal fistula that opens into the urinary tract, you most likely will have urine leaking out of your vagina. (mottchildren.org)
  • If you have a vaginal fistula that opens to your rectum or colon, you most likely have foul-smelling discharge or gas coming from your vagina. (mottchildren.org)
  • Your vagina or vulva may get irritated or infected if you have a fistula. (mottchildren.org)
Rectum3
  • The fistula may also connect the rectum and urethra, which is called recto-urethral fistula. (wikipedia.org)
  • Complete recovery occurred in patients who underwent laparotomy for rectovaginal fistulas following inflammatory bowel disease or complicating anterior resection of the rectum. (edu.pl)
  • A vaginal fistula that opens into the rectum is called a rectovaginal fistula . (mottchildren.org)
Perianal3
  • The fistula may arise primarily or, more often, in relation to a perirectal abscess or fistula, manifesting as complicated perianal sepsis. (medscape.com)
  • Rectovaginal fistulas (RVF) are a difficult to treat perianal complication of Crohn's disease (CD) with a significant impact on quality of life. (ecco-ibd.eu)
  • Anal fistulas are the main aetiology of perianal abscesses and suppurations. (bmj.com)
Abscess1
  • The most common are perirectal abscess/fistula and diverticulitis . (medscape.com)
RVFs2
  • The use of biopsy to differentiate radiation-related change at the fistula from a recurrent tumor is imperative, because neoplasms (primary, recurrent, or metastatic) can produce RVFs. (medscape.com)
  • For thousands of years, women simply tolerated the distressing symptoms generated by rectovaginal fistulas (RVFs). (medscape.com)
Etiology2
  • They may occur as a result of obstetrical injuries, inflammatory bowel diseases, or pelvic cancer irradiation.The aim of the study was to describe the results of different methods of surgical treatment according to the etiology and localization of rectovaginal fistulas.Material and methods. (edu.pl)
  • Various surgical techniques are available for the management of rectovaginal fistulas depending on their etiology, size, and location. (edu.pl)
Complications5
  • She also sees patients with mesh-related complications (mesh erosion, mesh exposure), urogenital fistula, and other pelvic floor issues. (massgeneral.org)
  • Possible complications of SRS are numerous, but perhaps the most common, and also the most troublesome, is a rectovaginal fistula. (avitale.com)
  • Graciloplasty for rectourethral rectovaginal and rectovesical fistulas: 12 technique overview, pitfalls and complications. (rochester.edu)
  • Study outcomes measures were healing time and secondary outcome measures were complications of surgery RESULTS: One hundred and thirty-three patients (median age 44 and M:F ratio 2.8:1) with 206 fistulae were accrued. (scielo.org.za)
  • Prise en charge des complications de la grossesse et de l' accouchement : guide destiné à la sage-femme et au médecin. (who.int)
Vaginal fistula6
Urinary1
  • A urinary, vaginal, or rectal fistula is a medical condition where a hole develops between the urinary, vaginal or rectal tract and the surrounding tissue. (bcm.edu)
Sphincter1
  • Additional procedures included anal sphincter reconstruction (2) and repair of rectovaginal fistula (2). (scielo.org.za)
Complication1
  • Rex JC Jr, Khubchandani JT: Rectovaginal fistula: complication of low anterior resection. (edu.pl)
Abnormal connection1
  • In rare cases, however, it can be a sign of more serious conditions that require medical treatment, such as vaginal fistulas, which are caused by an abnormal connection between two organs. (medicalnewstoday.com)
Surgery12
  • Rectovaginal fistula can also be a symptom of various diseases, including infection by lymphogranuloma venereum, or the unintended result of surgery, such as episiotomy or sex reassignment surgery. (wikipedia.org)
  • Most rectovaginal fistulas will need surgery to fix. (wikipedia.org)
  • Medications such as antibiotics and Infliximab may be prescribed to help close the rectovaginal fistula or prepare for surgery. (wikipedia.org)
  • Diabetes , hypertension , smoking, and previous abdominal or pelvic surgery increase the risk of fistula formation. (medscape.com)
  • Commonly found in those have recently had surgery or radiation, fistulas are not only painful, but can carry significant emotional distress along with physical discomfort. (ohsu.edu)
  • A fistula forces the patient to face challenges undreamed of before she went off to surgery. (avitale.com)
  • Your doctor will want to talk about your symptoms and about any surgery, trauma, or disease that could have caused a fistula. (mottchildren.org)
  • This is to keep the fistula clear for the surgery. (mottchildren.org)
  • After fistula repair surgery, be sure to follow your doctor's instructions. (mottchildren.org)
  • It was known for having "one of the longest-running fistula programs on the African continent" 3 and was a place where on the one hand, women with fistula could stay and be operated on by qualified practitioners, and on the other, doctors could be trained in fistula surgery 4 . (openedition.org)
  • Several days after being discharged our client was admitted to a different hospital where she underwent further surgery for the fistula, which involved the creation of a stoma. (gerardmaloufpartners.com.au)
  • Treatment options may include surgery, medication or a combination of both, depending on the severity of the fistula. (bcm.edu)
Anovaginal2
  • Anovaginal and rectovaginal fistulas in Crohn's disease. (edu.pl)
  • Mazier WP, Senagore AJ, Schiesel EC: Operative repair of anovaginal and rectovaginal fistulas. (edu.pl)
Malignancies1
  • The development of rectovaginal fistulae in patients with advanced pelvic malignancies can lead to significant morbidity and suffering. (lusiadasscientificjournal.pt)
Resection1
  • Laparoscopic resection of rectovaginal fistula with intracorporeal colorectal anastomosis omentoplasty. (edu.pl)
Symptoms2
Laparoscopic2
  • Laparoscopic repair of high rectovaginal fistula: Is it technically feasible? (wikipedia.org)
  • Laparoscopic repair of high rectovaginal fistula. (edu.pl)
Colostomy4
  • If the fistula is large, an immediate temporary colostomy may be required so that a repair can be effected. (avitale.com)
  • Even for smaller fistulas, however, a temporary colostomy lasting a couple of weeks may be required. (avitale.com)
  • If you have a large rectovaginal fistula, you may first have a colostomy . (mottchildren.org)
  • After the fistula repair heals, the colostomy is taken out. (mottchildren.org)
Tract1
  • Definitive procedures included two-stage seton fistulotomy (43), ligation of the inter-sphincteric fistula tract (LIFT) procedure (39), modified Hanley procedure (17), and mucosal advancement flap (5). (scielo.org.za)
Crohn1
Surgical1
  • Naru T, Rizvi JH, Talati J: Surgical repair of genital fistulae. (edu.pl)
Colorectal2
  • BACKGROUND: Persistent anorectal fistulae are referred for assessment in the Durban Metropolitan area to the colorectal unit at the tertiary hospital. (scielo.org.za)
  • This audit aimed to report the assessment and management of these fistulae to benchmark the outcomes from these approaches at a South African tertiary colorectal unit METHODS: Retrospective analysis of prospectively collected data of patients with anorectal fistulae over a 13-year period at a tertiary referral centre. (scielo.org.za)
Underwent1
  • The study included 23 female patients who underwent operations for rectovaginal fistulas within the period of 1995 to 2006. (edu.pl)
Occur3
  • [ 6 ] Fistulas that occur during such therapy usually result from tumor regression. (medscape.com)
  • [ 4 ] Fistulas that occur during such therapy usually result from tumor regression. (medscape.com)
  • Fistulas occur when an abnormal, hollow chamber develops between two otherwise normally unconnected organs. (medicalnewstoday.com)
Intestinal1
  • Keighley MRB: Intestinal fistulas. (edu.pl)
Closure3
  • The best results of low rectovaginal fistula treatment occurred using fistulectomy with layer closure and both-sided covering of the tissue defect with advancement vaginal and rectal flaps. (edu.pl)
  • However, a new procedure for closing anal fistulas is now available with the use of a nitinol closure clip (OTSC Proctology, OVESCO), which should ensure a better healing rate. (bmj.com)
  • Methods and analysis The FISCLOSE trial is aimed at evaluating the efficacy and safety of a nitinol closure clip compared to the RMAF procedure for the management of complex anal fistulas. (bmj.com)
Constipation1
  • The Pelvic Floor Health Center is a multidisciplinary program that specializes in the diagnosis and treatment of defecation disorders and other disorders of the pelvic floor, including fecal incontinence, constipation, rectovaginal fistulas, pelvic organ prolapse and neurogenic bowel disorders. (bcm.edu)
Feces1
  • This can cause leakage of urine, feces, or gas through the fistula, leading to discomfort and embarrassment. (bcm.edu)
Dilation1
  • Continuing dilation may enlarge the fistula and turn a messy problem into a life-threatening one. (avitale.com)
Operative1
  • Kniery KR, Johnson EK, Steele SR. Operative considerations for rectovaginal fistulas. (wjgnet.com)
Abdominal1
  • For low fistulae, a vaginal approach is best, while an abdominal repair would be necessary for a high fistula at the posterior fornix. (wikipedia.org)
Tampon1
Rectal wall1
  • The rectovaginal septum is the thin septum separating the anterior rectal wall and the posterior vaginal wall. (medscape.com)
Repair2
  • Repair of a fistula can be time-consuming and expensive. (avitale.com)
  • For smaller fistulas, doctors occasionally may wish to wait for a few months to allow the SRS site to heal before attempting a repair. (avitale.com)
Procedure2
  • The rectal mucosa advancement flap (RMAF) procedure to cover the internal opening of the fistula remains a strategy of choice. (bmj.com)
  • This procedure is currently becoming more widespread, though without robust scientific validation, and it is therefore essential to carry out a prospective evaluation in order to determine the efficacy and safety of this new medical device for complex anal fistulas. (bmj.com)
Patients1
  • The primary outcome is the proportion of patients with a healed fistula at 3 months. (bmj.com)
Outcomes1
  • The secondary outcomes are anal fistula healing (6 and 12 months), proctological pain (visual analogue scale), the faecal incontinence score (Jorge and Wexner questionnaire), digestive disorders and quality of life (Gastrointestinal Quality of Life Index and Euroqol EQ5D-3 L) up to 1 year. (bmj.com)
Treatment3
  • Most other fistulas become apparent 6 months to 2 years after completion of treatment. (medscape.com)
  • Treatment of rectovaginal fistula: A 5-year review. (edu.pl)
  • 3 Dr Abbo's Centre, which was partly funded by UNFPA 2 , specialized in the treatment of fistula, and began operating in the early 1970s. (openedition.org)
Discharge3
  • If I had a rectovaginal fistula what kind of discharge do you get ie color etc? (healthtap.com)
  • For a small fistula, the only clue may be a brown discharge appearing on a pad. (avitale.com)
  • Depending on the size of the fistula, one will have to choose a pad that can accommodate the discharge. (avitale.com)
Management1
  • The main objectives are to improve the healing rate of the anal fistula, lessen the postoperative pain and faecal incontinency, enhance the quality of life, and lower the number of reinterventions and therapeutic management costs. (bmj.com)
Hospital2
  • We lodged a claim on her behalf for compensation for the negligence of the hospital in inserting the enema, resulting in the fistula and subsequent physical and psychological effects that had on her. (gerardmaloufpartners.com.au)
  • 1 Addis Ababa Fistula Hospital, Ethiopia. (nih.gov)