rectovaginal fistula
Also written as: RVF — Rectovaginal Fistula
Abnormal communication between the rectum and vagina requiring complex surgical repair techniques.
Full Definition
A rectovaginal fistula is an abnormal connection between the rectum and vagina that allows passage of gas and fecal material through the vagina. Causes include obstetric trauma during childbirth, inflammatory bowel disease (particularly Crohn's disease), radiation therapy, surgical complications, or malignancy. The condition significantly impacts quality of life due to fecal incontinence and hygiene issues. Surgical repair is typically necessary and may involve various approaches including transanal, transvaginal, transperineal, or transabdominal techniques. Success rates vary depending on the size, location, and underlying etiology of the fistula, with some cases requiring multiple repair attempts.
Usage
Usage note: Distinguish from other types of genitourinary fistulas; specify etiology when known.
In Context
- "Complex rectovaginal fistula repair was performed using a gracilis muscle flap interposition." — operative report
- "The patient's rectovaginal fistula was attributed to obstetric trauma during her previous delivery." — clinical history