- Rectovaginal fistula
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Rectovaginal fistula Classification and external resources 
Rectovaginal fistulaICD-10 N82.3, Q52.2 ICD-9 619.1 DiseasesDB 32573 eMedicine med/2745 MeSH D012006 A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina. [1]
Rectovaginal fistula may be extremely debilitating. If the opening between the rectum and vagina is wide it will allow both flatulence and feces to escape through the vagina, leading to fecal incontinence. There is an association with recurrent urinary and vaginal infections. This type of fistula can cause pediatricians to misdiagnose imperforate anus.
Contents
Causes
Rectovaginal fistulae are often the result of trauma during childbirth (in which case it is known as obstetric fistula) in situations where there is inadequate health care, such as in some developing countries. Rates in Eritrea are estimated as high as 350 per 100,000 vaginal births. Fistulas can also develop in women and children who are raped; women with rectovaginal fistulae are often stigmatized in third world countries, and become outcasts.[2] It is also associated with female genital mutilation.
Rectovaginal fistulae can also be a symptom of various diseases, including infection by Lymphogranuloma venereum,[3] or the unintended result of surgery, such as episiotomy or sexual reassignment surgery. They may present as a complication of vaginal surgery, including vaginal hysterectomy. They are a recognized presentation of rectal carcinoma or rarely diverticular disease of the bowel or Crohn's disease. They are seen rarely after radiotherapy treatment for cervical cancer.
See also
- fistula
- rectourethral fistula
References
- ^ Kumaran SS, Palanivelu C, Kavalakat AJ, Parthasarathi R, Neelayathatchi M (2005). "Laparoscopic repair of high rectovaginal fistula: Is it technically feasible?". BMC Surg 5: 20. doi:10.1186/1471-2482-5-20. PMC 1266383. PMID 16221302. http://www.biomedcentral.com/1471-2482/5/20.
- ^ http://www.msmagazine.com/spring2005/congo.asp
- ^ Lynch CM, Felder TL, Schwandt RA, Shashy RG (1999). "Lymphogranuloma venereum presenting as a rectovaginal fistula". Infect Dis Obstet Gynecol 7 (4): 199–201. doi:10.1155/S1064744999000344. PMC 1784745. PMID 10449269. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1784745.
External links
- Clinical and functional results after tailored surgery for rectovaginal fistula Original article: Pelviperineology Vol.26 N.2 June 2007
- One By One - a nonprofit organization working to eliminate obstetric fistula.
Female diseases of the pelvis and genitals (N70–N99, 614–629) Internal AdnexaOophoritis · Ovarian cyst (Follicular cyst of ovary, Corpus luteum cyst, Theca lutein cyst) · Endometriosis of ovary · Ovarian hyperstimulation syndrome · Ovarian torsion · Ovarian apoplexy · Mittelschmerz · Female infertility (Anovulation, Poor ovarian reserve)Cervicitis · Cervical polyp · Nabothian cyst · Cervical incompetence · Female infertility (Cervical stenosis) · Cervical dysplasiaGeneralVaginitis (Bacterial vaginosis, Atrophic vaginitis, Candidal vulvovaginitis) · Leukorrhea/Vaginal discharge · Hematocolpos/HydrocolposOther/generalPelvic inflammatory disease · Pelvic congestion syndromeExternal Female congenital anomalies of the genitalia, including Intersex and DSD: (Q50–Q52 · 752.0–752.4) Internal External Categories:- Congenital disorders of female genital organs
- Noninflammatory disorders of female genital tract
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