Rectovaginal Fistula (Abnormal Communication)
Description
An abnormal connection between the rectum and the vagina. Contents of the bowel can leak from the fistula causing the passing of stool or gas from the vagina. The following can cause this disorder: injury during childbirth, a complication following surgery, cancer, or inflammatory bowel disease (Crohn's disease). An estimated 0.1 percent of vaginal births lead to 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
A history and physical exam will be performed. Diagnosis is made with the following tests: vaginogram, barium enema, anorectal ultrasound, anorectal manometry, and/or water/blue staining test.
- CT Scan
- MRI
Treatment
Treatment depends on the extent of disease but most patients require surgery. Antibiotics may be administered. If the disorder is secondary to Crohn's disease aggressive treatment for this disorder will be undertaken.
Related Videos
Share Your Experience
Do you have experience with this disease? Do you or someone
you know suffer from Rectovaginal fistula (Abnormal communication)?
Please share you experience with other members of the iTriage community.