Rectovaginal fistulas are abnormal epithelial-lined connections between the rectum and vagina. They can be quite bothersome to both the patient and the surgeon due to their irritating and embarrassing symptoms and high failure rate after repair. An individualized, systematic approach to these fistulas based on their size, location, and etiology provides a more concise treatment plan. Treatment options of medical therapy, advancement flaps, plugs, fistula ligation, and tissue interposition are discussed. Fistulas can be the result of congenital malformations or acquired etiologies. In this article, we will address acquired rectovaginal fistulas.
Genital issues are never a comfortable topic of conversation, and stool in the vagina is an extremely uncomfortable symptom that you may feel too embarrassed to discuss with your healthcare provider. However, it is important to know that stool in the vagina is never normal, and following-up with your healthcare provider is an important first step in finding a solution to this disconcerting and distressing symptom. The common characteristics of stool in the vagina are related to the presence of the stool in the vaginal canal. Pus passing out of the vagina may represent the presence of an infection. Stool in the vaginal canal is often not the only symptom.
A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina. The rectum is the bottom section of your colon large intestine. This is a very common problem that often does not produce symptoms.
A rectocele is a condition in which the wall of tissue that separates the rectum from the vagina is weakened, allowing the vaginal wall to budge. Commonly, the front wall of the rectum bulges against the posterior of the vagina. The size of the prolapse often indicates if it is symptomatic. If the prolapse is small they can be asymptomatic no symptoms.