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A fistula involving the bladder can have one of many specific names, describing the specific location of its outlet: Bladder and intestine: "vesicoenteric", "enterovesical", or "vesicointestinal" [1] [2] [3] Bladder and colon: "vesicocolic" or "colovesical" [4] Bladder and rectum: "vesicorectal" or "rectovesical" [5]
A rectovestibular fistula, also referred to simply as a vestibular fistula, is an anorectal congenital disorder where an abnormal connection exists between the rectum and the vulval vestibule of the female genitalia. If the fistula occurs within the hymen, it is known as a rectovaginal fistula, a much rarer condition. [1]
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.
Physiotherapy and social-reintegration services are also necessary to arm women affected by obstetric fistula with the tools necessary to re-enter a society from which they have been ostracised. The size of the facility should be tailored to the need in the area, and the most successful centers work in collaboration with other treatment centers ...
Vesicouterine fistulas occur most commonly after lower segment caesarean sections (about 83-93% of cases). [2] The possible mechanisms by which vesicouterine fistulas occur following caesarean sections include undetected bladder injury during caesarean section, inadvertent placement of a suture through the bladder during the repair of the uterus and abnormal blood vessel connections following ...
Sagittal section of the lower part of a female trunk, right segment. (Rectovaginal fascia not labeled, but region is visible.) Median sagittal section of female pelvis.
The equivalent structure in males is the rectovesical pouch, which is the pocket formed by the reflections of the peritoneum from the rectum to the male bladder. In terms of pelvic organ prolapse, a cul-de-sac hernia is located in the posterior compartment of the pelvis.
Fistulectomy is a surgical procedure where a surgeon completely removes a fistula, an abnormal tract (i.e. tube) that connects two hollow spaces of the body. [1] [2] In comparison to other procedural options of treating fistulae such as fistulotomies, where a fistula is cut open (i.e. unroofed) but not completely removed, and seton placement, where a rubber band seton is passed through the ...