Rectovaginal fistula following vaginal delivery
Classification of the fistula helps determine appropriate therapy. Issue Section:. If the area around your fistula is infected, you may be given a course of antibiotics before surgery. Malignancies may cause rectovaginal fistulas.
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Presentation and management of rectovaginal fistulas after delivery.
Some fistulas may even close spontaneously during this time. All patients require assessment of fecal continence. The incidence of rectovaginal fistula increases with high-dose radiation and previous hysterectomy. Another paper demonstrated that the most important factor associated with cure in patients with RVF was form: whether it was simple or complex Devesa et al. Initially, diverting loop colostomy or ileostomy with concomitant medical therapy allows for resolution of inflammation. A bag collects wastes until the fistula heals.
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What Is a Rectovaginal Fistula and How’s It Treated?
Operative results and quality of life after gracilis muscle transposition for recurrent rectovaginal fistula. Female diseases of the pelvis and genitals N70—N99 , — Urinalysis to check for infection.
They are seen rarely after radiotherapy treatment for cervical cancer. In: Schwartz's Principles of Surgery. An anatomic classification of rectovaginal septal defects.