Patient of rectovaginal fistula should be initially treated with:
Rectovaginal fistula is a communication between the epithelium linedQ surfaces of the rectum and the vagina.
Diagnosis:
• History of passing flatus, stool, mucus or blood per vagina.
• Diagnosis is made usually with:
– Speculum examination (P/S)
– Anoscopy/Proctoscopy
– Methylene blue enema
• Endoanal ultrasound can determine the severity of trauma.
Classification:
Colostomy
Primary repair
Colporrhaphy
Anterior resection