Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2015  |  Volume : 34  |  Issue : 1  |  Page : 64-69

Single-incision transperineal repair of simple and recurrent rectovaginal fistula with a vital bulbocavernosus muscle flap


1 Department of Surgery, Mansoura Faculty of Medicine, Mansoura University Hospital, Mansoura University, Mansoura, Egypt
2 Department of Gynecology and Obstatrics, Mansoura Faculty of Medicine, Mansoura University Hospital, Mansoura University, Mansoura, Egypt
3 Department of General and Colorectal Surgery, Mansoura Faculty of Medicine, Mansoura University Hospital, Mansoura University, Mansoura, Egypt

Correspondence Address:
Tamer Youssef
Department of General and Endocrine Surgery, Mansoura Faculty of Medicine, Mansoura University Hospital, Mansoura University, Gomhoria st., Mansoura
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1121.153374

Rights and Permissions

Background Rectovaginal fistulas (RVFs) are abnormal epithelium-lined connections between the rectum and the vagina. RVFs may be simple or complex. This study analyzed the outcome of single-incision transperineal repair of simple RVFs with a vital bulbocavernosus muscle flap. Patients and methods A total of 11 consecutive patients with simple and recurrent RVFs were included and assigned to single-incision transperineal repair with a vital bulbocavernosus muscle flap. Postoperatively, patients were followed up at the outpatient clinic or through telephone interviews with specific questionnaires to collect information on the status of fecal control, flatus, or fecal leakage from the vagina, and on the quality of personal and social life. Functional results were evaluated after 6 months by means of anal manometry and a questionnaire reflecting the symptomatic results, Wexner Incontinence Score and the Female Sexual Functional Index. Results The mean hospital stay was 10.37 ± 1.12 days. The mean follow-up period was 8.81 ± 2.56 months. The results of mean anal pressure measurements postoperatively showed no significant differences compared with preoperative measurements. The results of preoperative and postoperative Wexner Incontinence scores and Female Sexual Function Indices showed high significant postoperative improvements in all patients (P = 0.001). By the time of the last follow-up, there was no recurrence of RVF, and all patients reported normal fecal continence and had returned to a normal life. Conclusion Although RVF is troublesome for surgeons, it can be cured using our procedure. It seems that this technique is both simple and effective, giving excellent anatomical and functional results without the need for a protecting stoma.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2361    
    Printed26    
    Emailed0    
    PDF Downloaded138    
    Comments [Add]    

Recommend this journal