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.
  • Don't douche. Douching can increase your risk of infection.

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

DS01065

May 30, 2008

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