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Doctor insights on: Would A Pelvic Ultrasound Be Able To Detect A Rectovaginal Fistula

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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

Dr. Michael Gabor
2,271 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...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?

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

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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If I had a rectovaginal fistula what kind of discharge do you get ie color etc?

If I had a rectovaginal fistula what kind of discharge do you get ie color etc?

Fecal material: Usually the effect of a preexisting path problem such as tumor with resection of uterus. The remaining vaginal cuff is prone to have fistula to bowel. In IBD the lower rectum can occasionally fistulize to posterior wall of vagina. What ever the etiology a liquid fecal like material will periodically drain into the vagina and discharge on the vaginal orifice. ...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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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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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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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 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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How do they do a pap smear with a rectovaginal fistula? The test comes back contaminated because of the feces flowing out. So how will they do it then

How do they do a pap smear with a rectovaginal fistula? The test comes back contaminated because of the feces flowing out. So how will they do it then

Cervix: The cervix can be cleaned and a pap smear done. Those done in liquids make it more possible to get a good pap. If nothing else the testing for high risk HPV which is extremely important will be reliable even with the fistula. Hope u have a very successful fistula repair. ...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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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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Best doctor for rectovaginal fistula?

A Urogynecologist: A urogynecologist if you can find one. Otherwise a gynecologisit. ...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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Is methylene blue available otc? If not, are there any OTC substitute dyes that I can self-inject into my rectum to confirm rectovaginal fistula?

Go see your doctor: Trying to figure out if you have a rectovaginal fistula is not a do-it-yourself project. Check out http://www. Mayoclinic. Com/health/rectovaginal-fistula/ds01065 for info re rvf esp diagnostic testing. Use of contrast dye is only one way to prove the presence of rvf but it's not enough for surgeon to act upon (also need to find cause). So go see your family doc or gynecologist for appropriate tests. ...Read more

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How soon after a rectovaginal fistula repair fails can a repeat surgery be performed? I am getting stool through the surgical site. On 14 day course of levaquin (levofloxacin). I'm anxiety ridden & need answers.

How soon after a rectovaginal fistula repair fails can a repeat surgery be performed? I am getting stool through the surgical site. On 14 day course of levaquin (levofloxacin). I'm anxiety ridden & need answers.

It depends: Several variables will dictate a new surgical date. Since stool is coming through the surgical site, you will need to be placed on bowel rest with nutrition given intravenously. You will need to have normal nutritional status prior to surgery. All inflammation in the area will need to be suppressed. This may take quite some time to accomplish. You will need a good nutritional evaluation. ...Read more

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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

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Thought my GI was kidding saying I'm at high risk for rectovaginal fistula based on my CT scan. But I'm leaking stools from vagina now. What can I do?

Thought my GI was kidding saying I'm at high risk for rectovaginal fistula based on my CT scan. But I'm leaking stools from vagina now. What can I do?

See a colorectal: Surgeon asap. It sure sounds like you have that fistula they were talking to you about. It can be confirmed then your options explained based on your underlying condition. ...Read more

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What is the best time to get pelvic ultrasound for females?

What is the best time to get pelvic ultrasound for females?

Mid-cycle: Is the best time for pelvic ultrasound. The effects of the various hormones are at the point where their influence on the pelvic organs is the least. Doesn't mean you can't have one any other time but mid-cycle is optimal ...Read more

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What to do if I have to get a pelvic ultrasound what's the procedure usually?

What to do if I have to get a pelvic ultrasound what's the procedure usually?

Read more here: Please see these articles (and its related articles) for a good summary, pictures, and videos on how ultrasounds are performed:

http://www. Conciergeradiologist. Com/how-ultrasound-works. Html. ...Read more

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What does free fluid mean on pelvic ultrasound?

What does free fluid mean on pelvic ultrasound?

Depends: Some small amounts of fluid in the female pelvis is physiologic. Larger amounts can be associated with ruptured ovarian cyst. Pelvic inflammatory disease can produce pelvic fluid.
In the case of acute appendicitis free fluid can occur as well. Inflammatory bowel disease is another cause of fluid production. ...Read more

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Can the pelvic ultrasound be enough to diagnose endometriosis?

Can the pelvic ultrasound be enough to diagnose endometriosis?

In the: Right clinical context, there are US findings that can support the diagnosis. However, those findings are not specific for endometriosis. Also, a normal ultrasound does not exclude endometriosis. ...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


Dr. Austina Cho
2 Doctors shared insights

Pelvic Ultrasound (Definition)

This is an ultrasound test to examine the organs of the pelvis, typically using either a trans-abdominal or trans-vaginal approach, depending on what is suspected, such as ovarian ...Read more