Surgical repair of abnormal tract between rectum and vagina using endorectal flap advancement or other reconstruction techniques. Complex surgery requiring specialized expertise and meticulous dissection.
Endorectal Flap Advancement: Most common. Mobilizes rectal mucosa and advances to cover internal opening. Transanal Repair: For simple lower fistulas. Staged Procedures: For complex cases.
Hospital stay 2-4 days. Healing 8-12 weeks. Return to activities 6-8 weeks. Success 60-80% depending on technique and etiology. Excellent functional preservation.