Abstract
Rectovaginal fistulae are abnormal epithelialized connections between the rectum and
vagina. Fistulae from the anorectal region to the posterior vagina are truly best
characterized as anovaginal or very low rectovaginal fistulae. True rectovaginal fistulae
are less common and result from inflammatory bowel disease, trauma, or iatrogenic
injury. A very few patients are asymptomatic, but the symptoms of rectovaginal fistula
are incredibly distressing and unacceptable. Diagnostic approach, timing, and choice
of surgical intervention, including sphincteroplasty, gracilis flaps, Martius flaps,
and special circumstances are discussed.
Keywords
anovaginal fistula - rectovaginal fistula - advancement flap - Martius flap - fistula
plug
