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Topic: Rectovaginal fistula

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	Fistula \| FORWARD
		Fistulae are holes that are created between the vaginal wall and the bladder (vesicovaginal fistula VVF), and holes created between the vaginal wall and the rectum (rectovaginal fistula RVF).
		Fistula has severe physical and social consequences and is one of the most degrading morbidities resulting from pregnancy and childbirth.
		If the fistula is not repaired, and the woman remains incontinent and childless, she is likely to be abandoned by her husband, on whom she is economically dependent.
	www.forwarduk.org.uk /key-issues/fistula (1174 words)

	Campaign to End Fistula - UNFPA
		Obstetric fistula is an injury of childbearing that has been relatively neglected, despite the devastating impact it has on the lives of girls and women.
		Rectovaginal fistula, which is less common, refers to damage between the rectum and vagina.
		Fistula is a relatively hidden problem, largely because it affects the most marginalized members of society: young, poor, illiterate women in remote areas.
	www.endfistula.org /q_a.htm (1713 words)

	HealthTalk Crohn's Network - Ask the Doctor for January 2, 2006
		I had a rectovaginal fistulectotomy with seton placement three years ago, and it has slipped a lot more to the point where it is cutting into the skin and causing what looks to be a small cyst.
		Rectovaginal fistulas, are unlike conventional perianal fistulas and don’t as a rule do all that well with setons because they tend to keep the hole open and therefore make the drainage from the vagina more so than in the absence from the seton.
		The patient with the rectovaginal fistula in Crohn’s disease, however, might very well consider having a definitive operation done because that can be done with a chance of success of somewhere in the 65 to 75 percent range.
	www.healthtalk.com /crohnsdisease/askthedoctor/010206.cfm (390 words)

	eMedicine - Rectovaginal Fistula : Article Excerpt by: Carol EH Scott-Conner, MD, PhD
		A more precise definition is that a low RVF is between the lower third of the rectum and the lower half of the vagina, and a high fistula is between the middle third of the rectum and the posterior vaginal fornix.
		Small-sized fistulas are less than 0.5 cm in diameter, medium-sized fistulas are 0.5-2.5 cm, and large-sized fistulas exceed 2.5 cm.
		Fistulas that occur during therapy are usually due to tumor regression.
	www.emedicine.com /med/byname/rectovaginal-fistula.htm (706 words)

	BioMed Central \| Full text \| Laparoscopic repair of high rectovaginal fistula: Is it technically feasible?
		Rectovaginal fistula (RVF) is an epithelium-lined communication between the rectum and vagina.
		On retraction of the rectum, the dense fibrosis in the region of the fistula was identified which was divided with sharp scissors (Figure 2B).
		For example, in a series from the Mayo Clinic, only 11% of their rectovaginal fistulas were secondary to obstetric injuries whereas 24% were due to inflammatory bowel disease [6].
	www.biomedcentral.com /1471-2482/5/20 (1969 words)

	FAQs About Fistula
		An obstetric fistula of the kind that occurs in Ethiopia (and many other developing countries) is a hole between a woman's birth passage and one or more of her internal organs.
		The dead tissue falls away and the woman is left with a hole between her vagina and her bladder (called a vesicovaginal fistula or VVF) and sometimes between her vagina and rectum (rectovaginal fistula, RVF).
		The Fistula Foundation is also expanding its Circle of Friends, a program which assists groups and individuals who want to hold their own fundraisers to support Fistula Hospital.
	www.fistulafoundation.org /aboutfistula/faqs.html (750 words)

	Fistula - WikiHealth
		In medicine, a fistula (pl. fistulas or fistulae) is an abnormal connection or passageway between organs or vessels that normally do not connect.
		Vasicovaginal and rectovaginal fistulas may also be caused by rape, in particular gang rape, as evidenced by the abnormally high number of women in conflict areas, such as that of the Second Congo War, who have suffered fistulae.
		Treatment for fistulae varies depending on the cause and extent of the fistula, but often involves surgical intervention combined with antibiotic therapy.
	www.wikihealth.com /Fistula (565 words)

	World Journal of Surgical Oncology \| Full text \| Colovaginal anastomosis: an unusual complication of stapler use in ...
		Inadvertent formation of colovaginal anastomosis associated with a rectovaginal fistula is a rare complication caused by the operator's error.
		The diagnosis of rectovaginal fistula was established and she was operated under epidural anesthesia.
		The leading cause of rectovaginal fistula is entrapment of the posterior vaginal wall to the staple line due to poor visualization of the operative field in the deep pelvis especially when the lightening in the operation room is unsatisfactory.
	www.wjso.com /content/3/1/74 (1969 words)

	UpToDate Rectovaginal, anovaginal, and colovesical fistulas
		Rectovaginal fistulas may also result from difficult hysterectomies, especially those performed for severe endometriosis with involvement or obliteration of the cul-de-sac, and from surgical procedures involving the posterior vaginal wall, perineum, anus, and rectum.
		Most anovaginal and rectovaginal fistulas of obstetric origin are located in the lower third of the vagina, just inside the introitus.
		Although concomitant sphincter injury has been reported to exist in up to one-third of women presenting with rectovaginal fistulas [1,2], concomitant internal or external sphincter injuries (or both) are probably more frequent when the location of the fistula is within the distal 3 cm of the anal canal.
	patients.uptodate.com /topic.asp?file=gyn_surg/13639 (490 words)

	Post-op transsexual: living with a rectovaginal fistula
		A fistula of this type is an opening between the rectum and the newly-created vagina, and can occur if the surgeon dissects too deeply or the patient dilates improperly.
		Upon discovery of a fistula, the patient should immediately be examined by a doctor--if not the doctor who performed the SRS, then a competent physician.
		A fistula forces the patient to face challenges undreamed of before she went off to surgery.
	www.avitale.com /Rectovaginal_Fistula.html (1023 words)

	Fistula - Wikipedia, the free encyclopedia
		An obstetric fistula develops when blood supply to the tissues of the vagina and the bladder (and/or rectum) is cut off during prolonged obstructed labor.
		Vesicovaginal and rectovaginal fistulas may also be caused by rape, in particular gang rape, as evidenced by the abnormally high number of women in conflict areas who have suffered fistulae.
		In some cases the fistula is temporarily covered, for example a fistula caused by cleft palate is often treated with a palatal obturator to delay the need for surgery to a more appropriate age.
	en.wikipedia.org /wiki/Fistula (871 words)

	Anovaginal and Rectovaginal Fistulas: Endoluminal Sonography Versus Endoluminal MR Imaging -- Stoker et al. 178 (3): ...
		of an anovaginal or rectovaginal fistula, and anal sphincter
		As in perianal fistulas, the abundant venous vessels in the
		Endosonography of peri-anal and peri-colorectal fistula and/or abscess in Crohn's disease.
	www.ajronline.org /cgi/content/full/178/3/737 (2996 words)

	Info on Recto Vaginal Fistulas
		A word of caution - whenever a fistula occurs at the lower end of the anal canal, it is much harder to repair with full continence.
		A rectovaginal fistula is a traumatic thing, and you will never know how it feels. Many women feel a combination of feeling dirty, depressed, angry and generally alone. I had difficulty enjoying even simple things, and since I experienced the fistula immediately following my delivery, my depression was aggravated by post-partem mood shifts.
		I'm happy to be a "fistula friend" -- someone to communicate with while you are going through it and have those embarrassing questions you hesitate to ask anyone else.
	www.geocities.com /dinimerz/rectovaginal_fistula.htm (1424 words)

	eMedicine - Rectovaginal Fistula : Article by Carol EH Scott-Conner, MD, PhD
		A flap is outlined, extending at least 4 cm cephalad to the fistula, with the base of the flap twice the width of the apex to allow adequate blood supply to the flap tip.
		The rectovaginal septum is dissected, the fistula is divided, and the rectum and vagina are closed primarily without bowel resection.
		Fistulas of obstetric origin and fistulas that are considered simple (rather than complex) fare better after repeated repair attempts.
	www.emedicine.com /med/topic2745.htm (3862 words)

	Rectovaginal fistulae (RVFs)
		2, a urethrovaginal fistula (not uncommon) is usually an extension from a vesicovaginal fistula, and seldom occurs in isolation, unless it is mistakenly produced surgically.
		4, a rectovaginal fistula (next commonest after a VVF) is usually fairly high in the vagina,, and is due to pressure necrosis of the child's head against the sacral promontary and upper sacrum.
		Fistulae between the ureters and and the vagina also occur (rare, 18.10), but are not shown here.
	www.meb.uni-bonn.de /dtc/primsurg/docbook/html/x6237.html (1366 words)

	Fistula
		A fistula is an abnormal connection between an organ, vessel, or intestine and another structure.
		Fistulas are usually the result of injury or surgery. It can also result from infection or inflammation.
		Inflammatory bowel disease, such as ulcerative colitis or Crohn's disease, is an example of a disease that leads to fistulas between one loop of intestine and another.
	www.geocities.com /medipedia/002365.htm (256 words)

	Anovaginal Fistulas: Evaluation with Endoanal MR Imaging -- Dwarkasing et al. 231 (1): 123 -- Radiology
		the anal canal, rectum, rectovaginal septum, and vagina (5,9).
		the recurrence of fistulas and the occurrence of postoperative
		Anovaginal and rectovaginal fistulas: endoluminal sonography versus endoluminal MR imaging.
	radiology.rsnajnls.org /cgi/content/full/231/1/123 (4697 words)

	International Center for Pediatric Colorectal Solutions
		This figure illustrates the anatomy of a female patient with a presacral mass that proved to be a dermoid cyst.
		This type of defect is interesting because it is similar to the rectal atresia type of defect and it could be postulated that the presence of that presacral mass as a provoking factor may have led to the stenosis.
		The posterior sagittal approach in this particular case allowed for a resection of the presacral mass, closure of the vaginal fistula, and further mobilization of the rectum to leave an intact rectal wall in front of the vaginal suture.
	www.icpcs.org /D03-03-01.htm (238 words)

	rectovaginal fistula : signs - symptoms and disease information
		Often the injuries or trauma may be complicated by infections that lead to the development of these abnormal channels of communication.
		Not only can this lead to a rectovaginal fistula, but it can also lead to damage of the rectal sphincter.
		Rectovaginal fistulas can cause immediate problems with the vagina and rectum, or may lead to dysfunction of these organs at some future date.
	www.myelectronicmd.com /get_reference.php?Id=945 (321 words)

	Definitions of Vesicovaginal Fistula (VVF) and Rectovaginal Fistula (RVF) \| FORWARD
		The word "fistula" is a collective medical term for any abnormal connection between two bodily organs.
		In the case of obstetric fistula it is the result of pressure exerted by the foetal head in the pelvis during obstructed labour, a force that interrupts the blood flow to nearby tissues in the mother's pelvis, resulting in two classifications Vesicovaginal Fistula and Rectovaginal Fistula.
		VVF occurs when the blood supply to the tissues of the vagina and the bladder is restricted during prolonged obstructed labour, the tissues die between these organs, forming holes through which urine can pass uncontrollably.
	www.forwarduk.org.uk /key-issues/fistula/definitions (288 words)

	Vaginal Fistula
		A fistula that has formed in the wall of the vagina is called a vaginal fistula.
		A vaginal fistula that opens into the rectum is called a rectovaginal fistula.
		If you have a large rectovaginal fistula, you may first have a colostomy.
	www.peacehealth.org /kbase/topic/special/tn10138/sec1.htm (542 words)

	Michigan Bowel Control Program: Departments
		A rectovaginal fistula is a small tunnel between the rectum and the vagina.
		Symptoms of a rectovaginal fistula may include pain, swelling (not necessarily related to bowel movements), and stool leaking from the vagina.
		Surgery is necessary to cure a rectovaginal fistula.
	www.med.umich.edu /bowelcontrol/about/rectovag.htm (231 words)

	Rectovaginal fistula - Wikipedia, the free encyclopedia
		As such, discussing the disorder publicly is not something that many women feel they can do.
		They may present as a complication of vaginal surgery, including vaginal hysterectomy.
		One By One - a nonprofit organization working to eliminate obstetric fistula.
	en.wikipedia.org /wiki/Rectovaginal_fistula (377 words)

	Rectovaginal Fistula (Site not responding. Last check: 2007-10-13)
		Colonoscopy revealed this fistulous tract with mild to moderate associated inflammation.
		Rectovaginal fistula in a 71 year-old woman with a prior history of pelvic surgery.
		The colonic lumen is at lower left, and the fistula at upper right.
	www.endoatlas.com /co_ge_12.html (163 words)

	Rectovaginal Fistula and Anal Incontinence with Multiple Surgical Repairs - Medical Illustration
		Rectovaginal Fistula and Anal Incontinence with Multiple Surgical Repairs - Medical Illustration
		This medical exhibit features a rectovaginal fistula and the subsquent anal incontinence.
		Episiotomy - Iatrogenic Perforation of the Vaginal Wall with Rectovaginal Fistula - exh6055
	catalog.nucleusinc.com /generateexhibit.php?ID=9877 (194 words)

	Medical Dictionary: Rectovaginal fistula - WrongDiagnosis.com - WrongDiagnosis.com
		Medical Dictionary: Rectovaginal fistula - WrongDiagnosis.com - WrongDiagnosis.com
		Rectovaginal fistula: An abnormal anatomical passage between the RECTUM and the VAGINA.
		eMedicine - Rectovaginal Fistula : Article by Jan Rakinic, MD
	www.wrongdiagnosis.com /medical/rectovaginal_fistula_printer.htm (76 words)

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