What symptom does rectum vagina fistula have

summary

Rectovaginal fistula is the connection between the rectum and the vagina. Some patients have no specific symptoms in the early stage of illness, while others have difficulty in defecation. They have stubborn constipation. Sometimes they have to enema or cathartic to defecate. As we all know, we discharge waste through the anus. If there is a problem in the excretion, the physiological function of the human body will be in disorder. Let me share with you the symptoms of rectovaginal fistula.

What symptom does rectum vagina fistula have

First: the fistula hole is large and low, visible defecation from the vagina and uncontrollable exhaust. The fistula hole is small. When the stool is dry, there is no vaginal defecation, but there is still uncontrollable exhaust. Due to the stimulation of secretion, chronic vulvitis can occur, with symptoms such as scratching, exudation and rash.

Second: in women, the length of the rectum adjacent to the posterior wall of vagina is about 9cm, so rectovaginal fistula can occur in any part of the rectovaginal septum during trauma, inflammation and other lesions, which is the most common fecal fistula in obstetrics and gynecology. According to the choice of surgical methods, the so-called low rectal fistula can be repaired by perineal approach, while the high rectovaginal fistula can be repaired by transabdominal approach.

Third, depending on the etiology and the size of the fistula, some rectovaginal fistulas may be self-healing or cured by non-surgical treatment. More than half of the traumatic fistulas can heal themselves. If the fistula formed by inflammatory bowel disease is not easy to heal itself, or if there is recurrence after conservative treatment, surgical treatment is needed. Surgical repair of fresh wounds can be carried out immediately, usually for several months, after the local inflammation subsides and the tissue returns to normal softness, especially for fistulas caused by childbirth injuries.

matters needing attention

There are many causes of rectovaginal fistula, such as: ① congenital malformation; ② delivery injury, the most common, including postpartum and obstetric surgery; ③ gynecological surgery injury, abdominal or vaginal pelvic gynecological surgery; ④ inflammatory bowel disease; ⑤ drug corrosion or foreign body; ⑥ cancer erosion or after radiotherapy; ⑦ other penetrating or closed injury; such as riding injury or rape can also form this disease It's a kind of fistula. Among many causes, 3-degree perineal tear, obstetric surgery such as perineal incision, especially perineal rectotomy, are prone to rectovaginal fistula. If these injuries are not found in time, or repaired in time, or infection occurs after repair, rectovaginal fistula will eventually occur. Fistulas often occur in vaginal or rectal operations, especially near the dentate line.