Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy

Obstetrics and Gynecology International
Kemal BeksacMehmet Sinan Beksac

Abstract

To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus. This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. All of the simple rectovaginal fistula cases healed after the operation. Five of the group 2 patients healed after the operation. However, 1 patient with Crohn's disease needed to undergo reoperation, but successfully healed after 6 months. On the contrary, 3 patients in group 3 healed (60%) whereas 2 of them failed to heal. Clinical characteristics of the patients were different between the groups (before and after the year 2000). The choice of operation must be done according to the patient's underlying pathology. Proper management of associated inflammatory diseases and systemic disorders ...Continue Reading

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Citations

Aug 31, 2019·International Urogynecology Journal·Jihong FuWei Chen
Aug 19, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M NikolicS Riss

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Methods Mentioned

BETA
cesarean section

Software Mentioned

SPSS

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