title: Rectovaginal Fistulae.
abstract: Rectovaginal fistulae are abnormal epithelialized connections between the rectum and vagina. Fistulae from the anorectal region to the posterior vagina are truly best characterized as anovaginal or very low rectovaginal fistulae. True rectovaginal fistulae are less common and result from inflammatory bowel disease, trauma, or iatrogenic injury. A very few patients are asymptomatic, but the symptoms of rectovaginal fistula are incredibly distressing and unacceptable. Diagnostic approach, timing, and choice of surgical intervention, including sphincteroplasty, gracilis flaps, Martius flaps, and special circumstances are discussed.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, University of Texas-Houston, Houston, Texas.
authors.forename: Bidhan
authors.initials: B
authors.lastname: Das
authors.affiliation: Department of Surgery, University of Texas-Houston, Houston, Texas.
authors.forename: Michael
authors.initials: M
authors.lastname: Snyder
keywords: Martius flap; advancement flap; anovaginal fistula; fistula plug; rectovaginal fistula