Share This Article:

Obstetric recto-vaginal fistula: What technique to use?

Abstract Full-Text HTML XML Download Download as PDF (Size:74KB) PP. 441-444
DOI: 10.4236/ojog.2013.35081    3,899 Downloads   5,454 Views  


Objective: The recto-vaginal fistula is an abnormal communication between the previous wall of the rectum and the posterior face of the vagina through the recto-vaginal septum. They are often due to the obstetric traumas and they can be of post-surgical origin. Methods: We report five cases of patients with obstetric recto-vaginal fistula and all of the patients have surgical intervention with a resection of the fistulous route and rectal wall. Results: The patient did not present any recidivating and the evolution is satisfactory without complications or recidivating. Conclusion: The treatment of recto-vaginal fistula is often difficult exposed to recurrence; and the therapeutic indications must be adapted to every type of fistula by taking into account its size, its location and its etiology.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Errarhay, S. , Mahmoud, S. , Hmidani, N. , Saadi, H. , Bouchikhi, C. and Banani, A. (2013) Obstetric recto-vaginal fistula: What technique to use?. Open Journal of Obstetrics and Gynecology, 3, 441-444. doi: 10.4236/ojog.2013.35081.


[1] Badenoch, D.F., Tiptaft, R.C., Thakar, D.R., Fowler, C.G. and Blandy, J.P. (1987) Early repair of accidental injury to the ureter or bladder following gynaecological surgery. British Journal of Urology, 59, 516-518. doi:10.1111/j.1464-410X.1987.tb04866.x
[2] Benchekroun, A. (1992) Hydraulic valve for continence and antireflux. A 17-year experience of 210 cases. Scandinavian Journal of Urology and Nephrology, 142, 66-70.
[3] Benchekroun, A., Lakrissa, A., Essakalli, H.N., Faik, M., Abakka, T., Hachimi, M., et al. (1987) Vesico-vaginal fistula about 600 cases. Journal of Urology, 93, 151-158.
[4] Ockrim, J.L., Greenwell, T.J., Foley, C.L., Wood, D.N. and Shah, P.J. (2009) A tertiary experience of vesicovaginal and urethro-vaginal fistula repair: Factors predicting success. BJU International, 103, 1122-1126. doi:10.1111/j.1464-410X.2008.08237.x
[5] Emembolu, J. (1992) The obstetric fistula: Factors associated with improved pregnancy outcome after a successful repair. International Journal of Gynecology & Obstetrics, 39, 205-212. doi:10.1016/0020-7292(92)90658-6
[6] Evoh, N.J. and Akinla, O. (1978) Reproductive performance after the repair of obstetric vesico-vaginal fistulae. Annals of Clinical Research, 10, 303-306.
[7] Falandry, L. (1992) Urethro-vagino-fistula: Diagnostic and surgical techniques. Journal of Surgery, 129, 309-316.
[8] Rosenshen, N.B., Genadry, R.R. and Woodruff, D. (1980) An anatomic classification of rectovaginal septal defects. American Journal of Obstetrics and Gynecology, 137, 439-442.
[9] Rothenberger, D.A. and Goldberg, S.M. (1983) The management of recto-vaginal fistulae. Surgical Clinics of North America, 63, 61-79.
[10] Miklos, J.R. and Kohli, N. (1999) Rectovaginal fistula repair utilizing a cadaveric dermal allograft. International Urogynecology Journal, 10, 405-406. doi:10.1007/s001920050069
[11] Dargent, D. (1995) Thierry Adam, Patrice Mathevet Fistules rectovaginales. EMC, 41-870.
[12] Safan, A., Shaker, H., Abdelaal, A., Mourad, M.S. and Albaz, M. (2009) Fibrin glue versus martius flap interpositioning in the repair of complicated obstetric vesicovaginal fistula. A prospective multi-institution randomized trial. Neurourology and Urodynamics, 28, 438-441. doi:10.1002/nau.20754
[13] De Ridder, D. (2009) Vesicovaginal fistula: A major healthcare problem. Current Opinion in Urology, 19, 358-361. doi:10.1097/MOU.0b013e32832ae1b7

comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.