What is Rectovaginal Fistula?
Rectovaginal Fistula is a pathological condition in which there is an abnormal connection between the large bowel , the rectum and the vagina which result in the bowel content to leak through the fistulous withers and drop dead through the vagina alternatively of the rectum .
There are legion causes for growth of Rectovaginal Fistula which may admit any sorting of injury during childbirth , suffer from a aesculapian condition like Crohn Disease or other diseases in which there is rubor of the gut . In some case , Rectovaginal Fistula may also educate as a result of radiation treatment used for treat certain types of genus Cancer pertain to the pelvic part .
Rectovaginal Fistula can also occur as a complication after some sort of surgery done in the pelvic area . Rectovaginal Fistula is not a circumstance which may require emergent aesculapian treatment but it can be very disturbing for the affected role . The power for the individual to get intimate with better half also tends to get affected due to Rectovaginal Fistula . Sometimes , a Rectovaginal Fistula may close on its own but in majority of cases operative correction is require for treatment of Rectovaginal Fistula .
What are the Causes of Rectovaginal Fistula?
As state above , Rectovaginal Fistula may lead due to numerous causes . Some of the causes of Rectovaginal Fistula are :
Rectovaginal Fistula Caused as a Result of Injury During Childbirth
This is perhaps the most common cause of Rectovaginal Fistula . Some of the injuries that may fall out at the meter of delivery of the child which may cause Rectovaginal Fistula are tears in the perineum which may extend to the bowel . An contagion when an section is made to magnify the perineum during delivery can also result in Rectovaginal Fistula . All these thing be given to happen mostly in females who have sustain and unmanageable labor . Also , any type of combat injury to the anal retentive anatomical sphincter may also lead in Rectovaginal Fistula .
Crohn’s Disease
Crohn ’s diseaseis also one of the common crusade of Rectovaginal Fistula . This condition arises due to inflammation of the linings of the digestive parcel of land . It is not necessary that all females withCrohn Diseasego on to develop Rectovaginal Fistula but this term definitely increase the risk of developing rectovaginal fistula afterwards .
Radiation in the Pelvic Region
Radiation done to address sure character of cancer in the pelvic region is also one of the causes for Rectovaginal Fistula . The Cancer for which radiation is done in the pelvic areas are cancer of the cervix , rectum , vagina , and womb . When radioactivity is done to treat cancers in these regions , it increase the risk of the soul developing Rectovaginal Fistula within a year or two age out of treatment .
Surgery
Any surgical routine which involves the vagina , perineum , rectum or anus increases the risk for the individual developing Rectovaginal Fistula . Also operative procedure in the abject pelvic area such as one to take away the uterus also potentially increases the danger of an individual develop Rectovaginal Fistula .
What are the Symptoms of Rectovaginal Fistula?
The symptoms of Rectovaginal Fistula depend on the size and the accurate fix of the fistulous withers . If the fistula is very little then the symptoms because of it are broadly mild and is of no fear but if the fistulous withers is large and extends to the bowels then the symptoms make by it are fairly severe .
Some of the symptoms triggered by Rectovaginal Fistula are :
How is Rectovaginal Fistula Diagnosed?
A Rectovaginal Fistula is usually name after a thorough physical examination of the affected role , a detailed chronicle taking , and sure investigational studies which have all been line below .
If Rectovaginal Fistula is suspected by the physician then he or she will examine and settle the Rectovaginal Fistula and also calculate for potential transmission or an abscess . The physician will closely inspect the vagina , anus , and the perineum . If the Rectovaginal Fistula is higher up in the vagina then a speculum might be used by the physician to inspect the inner component of the vagina to look for the Rectovaginal Fistula . Once a strong-arm examination is complete , and Rectovaginal Fistula is surmise but not find then the doctor may perform the following tests to confirmatively name Rectovaginal Fistula . These tests are :
Vaginogram or Barium Enema : These run can serve confirm the location of the Rectovaginal Fistula . In these trial a dividing line material is used and the images of the vagina and the rectal area are seen on x - ray images .
CT and MRI Scan : modern radiological sketch in the form ofCTorMRI scanof the abdomen and pelvis will give a clear characterization of the arena and any presence of Rectovaginal Fistula will be clearly seen on the ikon .
Anorectal Ultrasound : An anorectal ultrasound uses sound waves to produce image of the anal retentive and rectal area to look for the bearing of an abnormality like a Rectovaginal Fistula .
to boot prove like colonoscopy with biopsy may be done to see if the person has Crohn disease which is a harbinger for Rectovaginal Fistula .
All the above tests confirm the diagnosing of Rectovaginal Fistula .
How is Rectovaginal Fistula Treated?
As stated above , some Rectovaginal Fistula close on their own but in most of the cases discourse is required to treat Rectovaginal Fistula as this is quite an embarrassing condition and make a mint of distress to the affected role . The treatment for Rectovaginal Fistula depends on the size , location , and the extent of the fistula and includes buttoned-down approach with medications as well as surgical chastening .
Medications : button-down coming in the phase of medications can be dedicate in the manikin of antibiotics in case the surface area around the Rectovaginal Fistula gets infect . This is usually done before a surgical correction so as to prevent any complications postsurgery . If Crohn Disease is creditworthy for ontogeny of Rectovaginal Fistula in a female , then medication known as Remicade has shown quite good efficaciousness in handle such face of Rectovaginal Fistula .
surgical operation : In majority of cases of Rectovaginal Fistula , surgical routine is take to shut the fistula and provide relief of symptom and allow the patient role to lead a normal lifetime . Usually , the sawbones waits for about three month mail the diagnosis and treat any eccentric of fervour and contagion with medications prior to embarking on operating room to close up or repair Rectovaginal Fistula .
The operating surgeon also tends to wait to see if the fistula close down on its own with conservative treatment . The surgical procedure done for Rectovaginal Fistula direct at removing the fistula tract and end the opening . The surgical option to treat rectovaginal fistulous withers are
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