Rectovaginal fistula is one of the most frustrating situations that a lady or woman can have after giving birth or so… but before we get into that let look at introduction
INTRODUCTION A rectovaginal fistula is an unusual connection between the lower part of your large intestine — your rectum — and your vagina. Bowel contents can leak thru the fistula, permitting gas or stool to bypass through your vagina. A rectovaginal fistula may additionally result from:
- Injury during childbirth
- Crohn’s disease or other inflammatory bowel disease
- Radiation treatment or cancer in the pelvic area
- Complication following surgery in the pelvic area
The circumstance may also cause emotional distress and physical discomfort that could impact self-esteem and intimacy. Speak to your doctor if you have signs and symptoms of a rectovaginal fistula, even if it’s embarrassing. Some rectovaginal fistulas may close on their own, but most need surgical repair. Signs and symptoms Relying on the fistula’s size and region, you may have minor symptoms or widespread problems with continence and hygiene. Signs and symptoms of a rectovaginal fistula may consist of:
- • Passage of gas, stool or pus out of your vagina
- • Foul-smelling vaginal discharge
- • Recurrent vaginal or urinary tract infections
- • Irritation or ache in the vulva, vagina and the region between your vagina and anus (perineum)
- • Pain during sexual intercourse
Causes A rectovaginal fistula may form as a result of:
- Injuries during childbirth. Delivery-related injuries are the most common cause of rectovaginal fistulas. This includes tears in the perineum that extend to the bowel, or an infection of an episiotomy — a surgical incision to extend the perineum during vaginal delivery. Those may take place following a long, difficult, or obstructed labor. These types of fistulas may also contain injury to your anal sphincter, the rings of muscle at the end of the rectum that help you maintain in stool.
- Crohn’s disorder. The second most common cause of rectovaginal fistulas, Crohn’s disease is an inflammatory bowel ailment in which the digestive tract lining is inflamed. most girls with Cohn’s disease never develop a rectovaginal fistula, but having Crohn’s disease does increase your risk of the condition.
- Cancer or radiation treatment in your pelvic area. A cancerous tumor in your rectum, cervix, vagina, uterus or anal canal can result in a rectovaginal fistula. Radiation therapy for cancers in these areas can also put you at risk. A fistula resulting from radiation usually forms within six months to 2 years after treatment.
- surgical operation involving your vagina, perineum, rectum or anus. prior surgery in your lower pelvic region, including removal of your uterus (hysterectomy), in uncommon cases can result from development of a fistula. The fistula may develop due to an injury during surgery or a leak or infection that develops later on.
- other causes. rarely, a rectovaginal fistula may be caused by infections in your anus or rectum; infections of small, bulging pouches in your digestive tract (diverticulitis); long-term inflammation of your colon and rectum (ulcerative colitis); dry, hard stool that gets stuck in the rectum (fecal impaction); or vaginal damage unrelated to childbirth.
physical complications of a rectovaginal fistula may include:
- uncontrolled loss of stool
- (fecal incontinence)
- Hygiene problems
- Recurrent vaginal or urinary tract infections
- irritation or irritation of your vagina, perineum or the skin around your anus
- An infected fistula that forms an abscess, a problem that can become life-threatening if not treated Fistula recurrence
amongst ladies with Crohn’s sickness who develop a fistula, the possibilities of complications are high. these can encompass poor healing, or another fistula forming later.