Rectovaginal Fistula Repair Surgery

What is Rectovaginal Fistula?

Rectovaginal fistula is abnormal tract between rectum and vagina. Causes stool in vagina, recurrent infections, and severe psychological distress. Rare but requires specialized surgical expertise. Dr. Ashok Kumar specializes in complex fistula reconstruction.

Causes & Symptoms

• Obstetric trauma (most common)
• Inflammatory bowel disease (Crohn's)
• Radiation therapy
• Colorectal surgery
• Symptoms: Stool/gas in vagina, fecal incontinence, vaginal discharge

Surgical Reconstruction

Endorectal Flap Advancement

Most common approach. Mobilizes rectal mucosa and advances to cover internal opening. Preserves sphincter function. Success rates 60-80% depending on etiology and complexity.

Transanal Repair

For simple, lower fistulas. Limited local repair techniques. Dr. Ashok Kumar selects approach based on individual fistula anatomy.

Recovery & Outcomes

Hospital stay 2-4 days. Healing 8-12 weeks. Return to normal activities 6-8 weeks. Success varies by technique and etiology. Staged procedures sometimes needed for complex fistulas. Excellent functional preservation with proper technique.

Related Conditions

• Rectovaginal Fistula Surgery Procedure
• Crohn's Disease
• Anal Fistula

Contact Charak Hospital

Phone: 05226664444

Dr. Ashok Kumar

Surgical Gastroenterologist

• MCh - SGPGI
• FRCS
• FACS
• FASCRS