Rectovaginal fistulae (RVF) may be considered as “border-line” disease, in that they may be managed by the gynecologist, colorectal surgeon, or, more rarely, by the general surgeon. RVF may be iatrogenic, as they may occur following surgical procedures, such as anterior resection of the rectum, Delorme mucosectomy, stapled transanal rectal resection (STARR), Altemeier perineal proctosigmoidectomy, Transanal Endoscopic Microsurgery (TEM), or rectocele repair. Rex and Khubchandani (1992), in a survey carried out among members of the American Society of Colon and Rectal Surgeons, found that 3.5% of anterior resections (7% when including female patients) were followed by RVF.


Transanal Endoscopic Microsurgery Rectovaginal Fistula Advancement Flap Advancement Flap Repair Martius Flap 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Mario Pescatori
    • 1
  1. 1.Coloproctology UnitArs Medica Hospital and La Sapienza UniversityRomeItaly

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