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Complications

By Mayo Clinic staff

Physical complications of rectovaginal fistula may include:

  • Incontinence
  • Problems with hygiene
  • Recurrent vaginal or urinary tract infections
  • Irritation or inflammation of your vagina, perineum or the skin around your anus
  • Infected fistula that forms an abscess, a problem that can become life-threatening if not treated
  • Fistula recurrence

Among women with Crohn's disease who develop a fistula, the chance of another fistula forming later is high.

References
  1. deBeche-Adams TH, et al. Rectovaginal fistulas. Clinics in Colon and Rectal Surgery. 2010;23:99.
  2. Champagne BJ, et al. Rectovaginal fistula. The Surgical Clinics of North America. 2010;90:69.
  3. Tintinalli JE, et al. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/content.aspx?aID=6361536. Accessed Sept. 19, 2012.
  4. Gregorcyk SG, et al. Rectovaginal fistulas and rectoceles. American Society of Colon and Rectal Surgeons. http://www.fascrs.org/physicians/education/core_subjects/2001/rectovaginal_fistulas_and_rectoceles/. Accessed Sept. 21, 2012.
  5. Schwartz DA, et al. The role of imaging tests in the evaluation of anal abscesses and fistulas. http://www.uptodate.com/index. Accessed Sept. 21, 2012.
  6. Fecal incontinence. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/fecalincontinence/#6. Accessed Sept. 21, 2012.
  7. Toglia MR. Rectovaginal, anovaginal, and colovesical fistulas. http://www.uptodate.com/index. Accessed Sept. 21, 2012.
  8. de la Poza G, et al. Genital fistulas in female Crohn's disease patients: Clinical characteristics and response to therapy. Journal of Crohn's and Colitis. 2012;6:276.
  9. Hoffman BL, et al. Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/content.aspx?aID=56720725. Accessed Sept. 19, 2012.
  10. Brunicardi FC, ed., et al. Schwartz's Principles of Surgery. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2010. http://www.accessmedicine.com/content.aspx?aID=5014922. Accessed Sept. 21, 2012.
  11. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 26, 2012.
  12. Klingele CJ (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 6, 2012.
DS01065 Nov. 15, 2012

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