Treatment
After diagnosing rectovaginal fistula, it is best to wait for around 3 months to allow the inflammation to subside. If the fistula is small, it will heal spontaneously during this time interval. For low fistulae, a vaginal approach is best, while an abdominal repair would be necessary for a high fistula at the posterior fornix.
A circular incision is made around the fistula and vagina is separated from the underlying rectum with a sharp circumferential dissection. The entire fistulous tract, along with a small rim of rectal mucosa is incised. The rectal wall is then closed extramucosally.
Read more about this topic: Rectovaginal Fistula
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