Rectovaginal fistula

Rectovaginal Fistula

A rectovaginal fistula is an abnormal connection between the lower a part of the large intestine (rectum) and also the vagina.Various things can cause rectovaginal fistula, including:
• Injury during labour and childbirth – this can be the foremost common cause.
• Radiation to the area (to treat cancer)
• Crohn disease (a disorder that can cause diarrhoea, belly pain, and other digestive problems)

The symptoms can include:
• Gas or bowel movements passing out of the vagina
• A bad smell coming from the vagina
• Pain or irritation in or near the vagina

Yes. Your doctor can be able to tell if you have it by learning about your symptoms and doing an exam. For the exam, the doctor will put gloved fingers inside your vagina and your anus at the same time.
But you might need tests that include:
• A blue dye test – For this test, the doctor uses a blunt needle to put a blue dye into your rectum. He or she then checks for blue dye in your vagina.
• Imaging tests, like an MRI or a CT scan – These tests create pictures of the within body.

Rectovaginal fistulas are treated with an operation to close and repair the fistula. After surgery, you should:
• Drink only fluids for several days
• Eat foods which will help you have fewer and smaller bowel movements. Your doctor will tell you more about this diet and how long you need to stay on it.


Dr. Harsh J Shah