Rectovaginal fistula

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Lifestyle and home remedies

By Mayo Clinic staff

Good hygiene can help ease discomfort and reduce the chance of vaginal or urinary tract infections:

  • Wash with water. Gently wash your outer genital area with warm water each time you experience vaginal discharge or passage of stool. Soap can dry and irritate your skin but may be necessary in moderation. Avoid rubbing with dry toilet paper. Premoistened, alcohol-free towelettes or wipes or moistened cotton balls may be a good alternative for cleaning the area.
  • Dry thoroughly. Allow the area to air-dry after washing, or gently pat the area dry with toilet paper or a clean washcloth.
  • Avoid irritants. These include harsh or scented soap and scented tampons and pads.
  • Use a cold compress. Apply a cold compress, such as a washcloth, to the labial area.
  • Apply a cream or powder. Moisture-barrier creams help keep irritated skin from having direct contact with fecal matter. Ask your doctor to recommend a product. Be sure the area is clean and dry before you apply any cream. Nonmedicated talcum powder or cornstarch also may help relieve discomfort.
  • Wear cotton underwear and loose clothing. Tight clothing can restrict airflow, making skin problems worse. Change soiled underwear quickly. Products such as absorbent pads and disposable underwear can help if you're passing liquid or stool. If you use pads or adult diapers, be sure they have an absorbent wicking layer on top.

Symptoms of a rectovaginal fistula can be very distressing, but treatment generally offers good results.

References
  1. Lentz GM. Anatomic defects of the abdominal wall and pelvic floor: Abdominal and inguinal hernias, cystocele, urethrocele, enterocele, rectocele, uterine and vaginal prolapse, and rectal incontinence: Diagnosis and management. In: Katz VL, et al. Comprehensive Gynecology. 5th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/196058617-5/0/1524/134.html?tocnode=53759433&fromURL=134.html. Accessed April 19, 2010.
  2. Champagne BJ, et al. Rectovaginal fistula. The Surgical Clinics of North America. 2010;90:69.
  3. Burke C. Rectovaginal fistulas. Clinical Journal of Oncology Nursing. 2005;9:295.
  4. Welton ML, et al. Anorectum. In: Doherty GM. Current Diagnosis & Treatment: Surgery. 13th ed. New York, N.Y.: McGraw-Hill Medical; 2010. http://www.accessmedicine.com/content.aspx?aID=5310106. Accessed April 20, 2010.
  5. Crohn's disease. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/crohns/. Accessed April 20, 2010.
  6. Fecal incontinence. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/fecalincontinence/. Accessed April 20, 2010.
  7. Toglia MR. Rectovaginal, anovaginal, and colovesical fistulas. http://www.uptodate.com/home/index.html. Accessed April 19, 2010.
  8. Andreani SM, et al. Rectovaginal fistula in Crohn's disease. Diseases of the Colon and Rectum. 2007;50:2215.
  9. Novi JM, et al. Rectovaginal fistula. Journal of Pelvic Medicine & Surgery. 2005;11:283.
DS01065 May 29, 2010

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