Description
An abnormal connection between the rectum and vagina. This condition can occur with the following conditions: having a baby, surgery, inflammatory bowel disease (Crohn's 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
Common tests used for diagnosis and treatment
Workup:
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.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: Vaginogram, barium enema, anorectal ultrasound, anorectal manometry, water/blue staining test.
Specialists:
General Surgery, Obstetrics and Gynecology, Colon and Rectal Surgery
Workup:
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.
Tests:
CT Scan, Magnetic resonance imaging (MRI)
Other Specific Tests: Vaginogram, barium enema, anorectal ultrasound, anorectal manometry, water/blue staining test.
Specialists:
General Surgery, Obstetrics and Gynecology, Colon and Rectal Surgery
Treatment
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.