title: Spontaneous rectovaginal fistula and repair using bulbocavernosus muscle flap.
abstract: Spontaneous fistula between anorectum and vagina is extremely uncommon. Successful repair depends on etiology, location and the expertise of the surgeon. We report two cases of spontaneous stercoral perforation resulting in rectovaginal fistula (RVF). Both occurred in bedridden patients with fecal impaction. One patient was successfully repaired with a bulbocavernosus (BC) flap interposition. Flap interposition prevents vaginal stenosis in repair of multiple RVF.
authors.affiliation: Regional Cancer Centre, Trivandrum 695011, India.
authors.forename: K
authors.initials: K
authors.lastname: Chitrathara
authors.forename: D
authors.initials: D
authors.lastname: Namratha
authors.forename: V
authors.initials: V
authors.lastname: Francis
authors.forename: V P
authors.initials: VP
authors.lastname: Gangadharan
mesh_terms: D005244:Fecal Impaction / Q000150:complications; D005260:Female; D006801:Humans; D008875:Middle Aged; D012006:Rectovaginal Fistula / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps