Archives of Gynecology and Obstetrics

, 279:919

The repair of rectovaginal fistulas using a bulbocavernosus muscle-fat flap

  • Christl Reisenauer
  • Markus Huebner
  • Diethelm Wallwiener
Case Report

DOI: 10.1007/s00404-008-0821-2

Cite this article as:
Reisenauer, C., Huebner, M. & Wallwiener, D. Arch Gynecol Obstet (2009) 279: 919. doi:10.1007/s00404-008-0821-2

Abstract

A 50-year-old woman developed a rectovaginal fistula after a posterior colporrhaphy for rectocele repair. Her vagina was scarred and narrowed after radiotherapy for cervical cancer 20 years earlier. A second patient with a 23-year history of Crohn’s disease presented with a small low rectovaginal fistula. The latter appeared spontaneously. Both complained of passing faeces and flatus through the vagina. Clinical examination confirmed the symptoms and revealed no signs of sphincter disturbance. As both patients had no other medical problems, we operated on the fistulas by a vaginal approach using a bulbocavernosus muscle-fat flap from the right labia majora. A temporary ileo- or colostomy could be avoided. Following successful healing, the anatomical and functional results were excellent in both cases.

Keywords

Rectovaginal fistulaBulbocavernosus-fat flapMartius flap

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Christl Reisenauer
    • 1
  • Markus Huebner
    • 1
  • Diethelm Wallwiener
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity of TuebingenTübingenGermany