Reoperative surgery for rectovaginal fistula

Oded Zmora*, Nir Wasserberg

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This chapter outlines the method of clinical diagnosis of rectovaginal fistulae along with the algorithmic approach to their repair using transvaginal, endorectal, transperineal, or abdominal approaches. This decision is dependent upon the level of the fistula and its etiology. The role of proximal diversion and its risk factors are discussed. Several causes may account for the development of rectovaginal fistula, ranging from simple cryptoglandular disease to iatrogenic injury, perineal trauma, Crohn’s disease, malignancy, and radiation therapy, and the underlying etiology is the single most important factor in fluencing the chance of successful surgical repair. Nearly all types of surgical repair for rectovaginal fistula may also be considered as second-line options in cases of failure of the initial repair.

Original languageEnglish
Title of host publicationReconstructive Surgery of the Rectum, Anus and Perineum
PublisherSpringer-Verlag London Ltd
Number of pages13
ISBN (Electronic)9781848824133
ISBN (Print)9781848824126
StatePublished - 1 Jan 2013


  • Crohn’s disease
  • Cryptoglandular disease
  • Iatrogenic injury
  • Malignancy
  • Obstetric injury
  • Perineal trauma
  • Radiation therapy
  • Rectovaginal fistula
  • Reoperative surgery


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