Rectovaginal Fistula
7 results
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Anorectal Disease- A 40-year-old woman with a history of Crohn's disease presents to your office with quiescent proctitis and a 4-mm rectovaginal fistula just above the anorectal ring. There is no appreciable sphincter defect. What is your best recommendation for repair?
- A 36-year-old woman has a history of obstetric injury and low rectovaginal fistula. Magnetic resonance imaging shows a 45 degree anterior sphincter defect. The patient reports weekly fecal incontinence. What is the recommended treatment?
- A 52-year-old woman presents with a distal recurrent rectovaginal fistula after 2 failed endorectal advancement flap repairs. She had normal findings on colonoscopy and endorectal ultrasonography confirmed a rectovaginal fistula in the very distal rectum with an intact sphincter complex and seton in place. What is the best next surgical treatment?
- A 27-year-old woman presents with a grade 4 perineal laceration 2 weeks after vaginal delivery. At the time of delivery, a repair was attempted. She presents today reporting passage of flatus and stool from the vagina. On examination under anesthesia, the patient is found to have a low rectovaginal fistula. What is the next step in management?
- A 27-year-old woman with no previous medical problems presents 1 day after prolonged vaginal delivery with passage of stool from the vagina. On physical examination, she has a 2-cm rectovaginal fistula approximately 3.5 cm from the anal verge with no sign of infection. She has no significant gastrointestinal history and no family history of gastrointestinal disorders. What is the best next step for this patient?
- A 55-year-old man presents with malaise, fatigue, inability to urinate, temperature of 102°F (38.8°C) and a heart rate of 115 beats/min 4 days after undergoing rubber band ligation for bleeding internal hemorrhoids. What is the next step in management?
- Pelvic Floor