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Doctor insights on: Causes Of Rectovaginal Fistula

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Could a fissure become infected and cause a rectovaginal fistula or could it be deep enough to cause one?

Could a fissure become infected and cause a rectovaginal fistula or could it be deep enough to cause one?

No: These conditions would be unrelated. An anal fissure is superficial and externally located on the skin. A recto-vaginal fistula is a deeper abnormality between these two structures, usually related to past trauma or injury (e.G, childbirth). Fissures often heal without surgery. Fistulas often need surgical repair. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


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Can IBS cause a rectovaginal fistula?

Can IBS cause a rectovaginal fistula?

Should not; see doc: Ibs is a functional disorder--means the organs (stomach/intestine) are not sick. They just don't work properly and so they cause your misery--bloating, cramping, nausea/flatulence etc....
Fistula often forms due to diseased organs that are closed to each other--as rectum and vagina, forming rectovaginal fistula--crohn's disease is a famous one for this condition. Consult doc. Good luck. ...Read more

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What would cause a rectovaginal fistula, not related to birth or ibd. I have one and don't know why? Please help. Worried I have cancer

What would cause a rectovaginal fistula, not related to birth or ibd. I have one and don't know why? Please help. Worried I have cancer

Usually traumatic: The connection may be related to an infection of the colon (diverticulitis) or after vaginal delivery. Usually will require surgical repair. Not usually related to cancer. ...Read more

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What are other causes for a rectovaginal fistula. Not caused by child birth or ibd?

What are other causes for a rectovaginal fistula. Not caused by child birth or ibd?

Diverticulitis: Most commonly in your age group fistulas form due to childbirth and complications of it. It is possible however to get information to cause a fistula as well. That is your reference to ibd. You can also get inflammation due to infection such as diverticulitis. These are small out of pouching's on the colon which can become infected and create fistulas. ...Read more

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Can IBS cause rectovaginal fistulas. What should I do?

No: Ibs is physiologic not pathologic. However, I am assuming that is the correct diagnosis: ie both the ibs and the r-v fistula. See a colorectal surgeon for confirmation and options for treatment. ...Read more

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What are the most common symptoms of rectovaginal fistula?

What are the most common symptoms of rectovaginal fistula?

Discharge, irritation: A rectovaginal fistula is an abnormal connection between the rectum and the vagina. This could cause discharge of stool from the vagina, as well as irritation and pain around the area. If you have a rectovaginal fistula, you should be evaluated by a physician who can help you. ...Read more

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Am I crazy to want to stay in all the time because of rectovaginal fistula?

Should repair: Rectovaginal fistula can be repair easily by a surgeon. You should see a surgeon to get problems corrected. You should not stay in all the time just because of it. It is very simple to repair. ...Read more

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Do you have any suggestions/medications details that would help for rectovaginal fistula?

Rectovaginal fistula: This is a complex problem where you have developed an abnormal connection between the rectum (or other part of the colon) and the vagina. Depending on the cause of the fistfuls would dictate best treatment options. For Example if this was from diverticulitis, surgery would be the best option but if this was from Cohn's then medications may heal this. I suggest discussing with a surgeon ...Read more

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Rectovaginal fistula hole is getting bigger causing problems?

Need surgery: The fistula will never close spontaneously and will continue to progress. You need surgery sooner than later. ...Read more

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Is it safe to have a colonoscopy if you had rectovaginal fistula?

Is it safe to have a colonoscopy if you had rectovaginal fistula?

Yes: If you have a rectovaginal fistula or have had one repaired there should be no problems with a colonoscopy. The colonoscope should pass right by the area without any problems. In rare instances, the fistula may be so large, the colonoscope can pass through this fistula. Even in this instance, a trained endoscopist should be able to manage this. A colorectal surgeon can repair this for you. ...Read more

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Best doctor for rectovaginal fistula?

A Urogynecologist: A urogynecologist if you can find one. Otherwise a gynecologisit. ...Read more

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Top doctor for minimal invasive rectovaginal fistula repair?

Urogynecologist/Gyne: A urogynecologist if you can find one or a gynecologist. ...Read more

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What's the best treatment to get rid of rectovaginal fistula?

What's the best treatment to get rid of rectovaginal fistula?

Surgery: This can be corrected by a gynecologist, uro-gynecologist, or colo-rectal surgeon. Depending on the exact condition, it may require more than one of these specialists. ...Read more

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Lar w/tme 6m ago leading to extremely thin rectovaginal septum. Now w/signs of minor rectovaginal fistula. Will surgery be hard or make it worse?

Should help: In the hands of a competent surgeon and with the luck of no complications, the surgery should improve this condition. You can't be healthy with a rectovaginal fistula. ...Read more

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Would a rectovaginal fistula be obvious on a pelvic MRI if it wasn't something you were looking for?

No: Rectovaginal fistulas are notoriously hard to find. One would not be obvious on a Pelvic MRI--especially if you weren't looking for it. Sometimes enemas with methylene blue dye or protoscopy are needed. Best wishes! ...Read more

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Would a pelvic ultrasound be able to detect a rectovaginal fistula?

Would a pelvic ultrasound be able to detect a rectovaginal fistula?

Probably not: The diagnosis of a rectovaginal fistula (or a hole between the rectum and the vagina) is usually made by pelvic exam. Ultrasound would not be helpful for this. ...Read more