Rectovaginal fistula

A rectovaginal fistula is a medical condition where there is a fistula or abnormal connection between the rectum and the vagina.

Rectovaginal fistulae may be extremely debilitating. If the opening between the rectum and vagina is wide, it will allow both flatulence and feces to escape through the vagina, leading to fecal incontinence. There is an association with recurrent urinary and vaginal infections. The fistula may also connect the rectum and urethra, which is called a recto-urethral fistula. Either condition can lead to labial fusion. This type of fistula can cause pediatricians to misdiagnose imperforate anus. The severity of the symptoms will depend on the size of the fistula. Most often, it appears about a week or so after childbirth.