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.

Original languageEnglish (US)
Pages (from-to)50-56
Number of pages7
JournalClinics in Colon and Rectal Surgery
Issue number1
StatePublished - Mar 1 2016


  • Martius flap
  • advancement flap
  • anovaginal fistula
  • fistula plug
  • rectovaginal fistula

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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