ArticleInternational journal of surgery case reports2020
Recto-vaginal fistulas: A case series.
Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 8 citations in OpenAlex.
- A comprehensive review of iatrogenic rectovaginal fistula after rectal cancer surgery.Discover oncology · 2026Review
- Martius fat pad flap procedure for management of obstetric rectovaginal fistula: A case report.Case reports in women's health · 2023Article
- Rectovaginal fistula surgery with horizontal mattress and running suture after unsuccessful first repair: a report of two cases.Annals of medicine and surgery (2012) · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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Abstract
introductionRectovaginal fistula (RVF) is defined as an abnormal communication between the anterior wall of the rectum and the posterior wall of the vagina. Many surgical techniques have been described in the treatment of RVF. However, none has proved its superiority. The aim of the study was to evaluate the functional results of surgical treatment of RVF using Martius and Falandry techniques in order to assess the feasibility and the efficacy of these techniques which were first described for vesico-vaginal fistulas.
methodsThe study was a retrospective case series conducted in a single centre: Department of general surgery at Ibn Sina University Hospital in Rabat. We included patients with rectovaginal fistula consecutively recruited from 2011 to 2014. 10 patients developed RVF after surgery for rectal cancer (9 cases), uterine cancer (1 case). One patient had RVF for ano-rectal malformation. Colostomy was performed before the treatment of fistula in 9 cases (82 %). They underwent surgical treatment using Falandry (8 patients) and Martius techniques (3 patients) performed by an experienced urologist surgeon.
resultsNo postoperative complications were recorded. Time to discharge was postoperative day 3-4. There was a complete disappearance of RVF in 8 patients (72.7 % of cases), relapse in 2 cases (18 %), and failure in one case (9%). The average follow-up was 12.6 +/-10 months. Functionally, no long-term cases of fecal incontinence or dyspareunia were noted.
conclusionThe choice of surgical technique in the treatment of RVF remains difficult because of poor literature data and absence of consensus. RVF repair results either by Martius or Falandry techniques are encouraging with low morbidity.
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