Silent suffering: a late presentation of obstetric fistula
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20252370Keywords:
Rectovaginal fistula, Assisted vaginal delivery, Prolonged labour, Fecal incontinenceAbstract
Rectovaginal fistulas are uncommon and account for less than 5% of all anorectal fistulas. Obstetric causes include perineal laceration, episiotomy, assisted vaginal delivery, prolonged labour, and trauma to the genital tract. They usually present with fecal incontinence immediately or within 7-10 days. Other causes include inflammatory bowel disease, diverticulitis, gynaecological surgeries, malignancy, and post-irradiation changes.
Metrics
References
Tuma F, McKeown DG, Al-Wahab Z. Rectovaginal Fistula. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2023.
Bodner-Adler B, Hanzal E, Pablik E, Koelbl H, Bodner K. Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: A systematic review and meta-analysis. PLoS One. 2017;12(2):e0171554. DOI: https://doi.org/10.1371/journal.pone.0171554
Viannay P, de la Codre F, Brochard C, Thubert T, Meurette G, Legendre G, et al. Management and consequences of obstetrical anal sphincter injuries: Review. J Visceral Surg. 2021;158(3):231-41. DOI: https://doi.org/10.1016/j.jviscsurg.2020.10.010
Spinelli A, Laurenti V, Carrano FM, Gonzalez-Díaz E, Borycka-Kiciak K. Diagnosis and Treatment of Obstetric Anal Sphincter Injuries: New Evidence and Perspectives. J Clin Med. 2021;10(15):3261. DOI: https://doi.org/10.3390/jcm10153261
Downloads
Published
How to Cite
Issue
Section
