SynthesisGerman medical science : GMS e-journal2012
German S3-Guideline: rectovaginal fistula.
Synthesis in German medical science : GMS e-journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Sphincter repair procedures may be favored in the treatment of obstetrical recto-vaginal fistula: a systematic review of the literature and meta-analysis.Techniques in coloproctology · 2025Pooled it
- A fully transanal endoscopic approach for large post-anastomotic high rectovaginal fistulas: An IDEAL stage 1 technical note.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- Vaginal Estriol Tablet Therapy for Rectovaginal Fistula after Low Rectal Surgery: Endoscopic Evaluation of Efficacy and Healing Mechanism.Journal of the anus, rectum and colon · 2026Article
- Laparoscopic Cervical Cerclage Band Erosion into the Rectal Lumen Complicated by Recto-Uterine Fistula: A Case Report.International journal of women's health · 2026Article
- Martius flap in recurrent rectovaginal fistula: a video vignette.International journal of colorectal disease · 2025Article
- Repair of Rectovaginal Fistulas with Martius Flap and Concomitant Levatoroplasty: A Ten-year Experience in a Tertiary Center.Iranian journal of medical sciences · 2025Article
- Pregnancy in Patients with Inflammatory Bowel Disease: A Narrative Review.Visceral medicine · 2025Review
- A Gender Perspective on Coloproctological Diseases: A Narrative Review on Female Disorders.Journal of clinical medicine · 2024Review
- Postoperative rectovaginal fistula: stoma may not be necessary-a French retrospective cohort.Techniques in coloproctology · 2024Article
- Medial circumflex femoral artery perforator flap to reconstruct a complex rectovaginal fistula: A case report.JPRAS open · 2024Article
- Successful Fistula Closure After Treatment with Colostomy and Infliximab in a Patient with Ulcerative Colitis Complicated by Rectovaginal Fistula.Biologics : targets & therapy · 2024Article
- Preoperative Assessment of Perianal Fistulas with Combined Magnetic Resonance and Tridimensional Endoanal Ultrasound: A Prospective Study.Diagnostics (Basel, Switzerland) · 2023Article
- Treatment of Rectovaginal Fistula.Journal of the anus, rectum and colon · 2023Review
- Transvaginal approach for rectovaginal fistula: experience from a single institution.Updates in surgery · 2022Article
- Local skin flap procedure for repair of rectovaginal fistula: A case report.International journal of surgery case reports · 2022Article
- Minimally invasive endoscopic repair of rectovaginal fistula.World journal of gastrointestinal surgery · 2022Article
- Transvaginal repair of a rectovaginal fistula caused by transvaginal mesh prolapse surgery.IJU case reports · 2022Article
- Combined transabdominal-transanal surgical approach for iatrogenic rectovaginal fistula: two case reports.Annals of the Royal College of Surgeons of England · 2022Article
- Clinical outcome and quality of life after gracilis muscle transposition for fistula closure over a 10-year period.International journal of colorectal disease · 2021Article
- Evaluation and management of obstetric genital fistulas treated at a pelvic floor centre in Germany.BMC women's health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRectovaginal fistulas are rare, and the majority is of traumatic origin. The most common causes are obstetric trauma, local infection, and rectal surgery. This guideline does not cover rectovaginal fistulas that are caused by chronic inflammatory bowel disease.
methodsA systematic review of the literature was undertaken.
resultsRectovaginal fistula is diagnosed on the basis of the patient history and the clinical examination. Other pathologies should be ruled out by endoscopy, endosonography or tomography. The assessment of sphincter function is valuable for surgical planning (potential simultaneous sphincter reconstruction). Persistent rectovaginal fistulas generally require surgical treatment. Various surgical procedures have been described. The most common procedure involves a transrectal approach with endorectal suture. The transperineal approach is primarily used in case of simultaneous sphincter reconstruction. In recurrent fistulas. Closure can be achieved by the interposition of autologous tissue (Martius flap, gracilis muscle) or biologically degradable materials. In higher fistulas, abdominal approaches are used as well. Stoma creation is more frequently required in rectovaginal fistulas than in anal fistulas. The decision regarding stoma creation should be primarily based on the extent of the local defect and the resulting burden on the patient.
conclusionIn this clinical S3-Guideline, instructions for diagnosis and treatment of rectovaginal fistulas are described for the first time in Germany. Given the low evidence level, this guideline is to be considered of descriptive character only. Recommendations for diagnostics and treatment are primarily based the clinical experience of the guideline group and cannot be fully supported by the literature.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.