Rectovaginal Fistula Treated Under Local Infiltration Anesthesia
Keywords:
rectovaginal fistula; outpatient surgery; local infiltration anesthesiaAbstract
Introduction: A rectovaginal fistula is an abnormal connection between the anorectal region and the vagina via a tract, causing significant discomfort in affected patients.
Objective: To present the results of a patient diagnosed with a rectovaginal fistula who underwent outpatient surgery under local infiltration anesthesia.
Case Presentation: A 28-year-old patient with no significant medical history presented for consultation with a diagnosis of a rectovaginal fistula secondary to surgery for Bartholin’s gland inflammation. Following the preoperative examination, outpatient surgery was performed under local infiltration anesthesia, with weekly follow-up visits during the first month and final discharge ten weeks post-surgery.
Conclusions: A rectovaginal fistula can cause a series of complications, including fecal leakage through the vagina and infections, which significantly impact patients’ quality of life; however, with an accurate diagnosis and effective surgical treatment, this condition can be successfully resolved.
Downloads
References
1. Hanavadi S, Durham-Hall A, Oke T, Aston N. Forgotten vaginal pessary eroding into rectum. Ann R Coll Surg Engl 2004;86(6):18-9. DOI: https://doi.org/10.1308/147870804182
2. Purwar B, Panda S, Odogwu SO, Joseph AT. Recto-vaginal sex leading to colostomy and recto-vaginal repair. Int J STD AIDS 2008;19(1):57-8. DOI:
https://doi.org/10.1258/ijsa.2007.005694
3. Singhal SR, Nanda S, Singhal SK. Sexual intercourse: an unusual cause of recto-vaginal fistula. Eur J Obstet Gynecol Reprod Biol 2006;131(2):243-4. DOI: https://doi.org/10.1016/j.ejogrb.2006.04.039
4. Tebeu PM, Fomulu JN, Khaddaj S, de Bernis L, Delvaux T, Rochat CH. Risk factors for obstetric fistula: a clinical review. Int Urogynecol J 2012;23(4):387-94. DOI: https://doi.org/10.1007/s00192-011-1622-x
5. Homsi R, Dai Koku NH, Littlejohn J, Wheeless CP. Episiotomy: risks of dehiscence and rectovaginal fistula. Obstet Gynecol Surg 1994;49(12):803-8. DOI: https://pubmed.ncbi.nlm.nih.gov/7885655
6. Hoexter B, Labow SB, Moseson MD. Transanal rectovaginal fistula repair. Dis Colon Rectum 1985;28(8):572-5. DOI: https://doi.org/10.1007/BF02554145
7. Mayo Clinic. Fístula rectovaginal - Síntomas y causas. 2024 [acceso 04/11/2025]. Disponible en: https://www.mayoclinic.org/es/diseases-conditions/rectovaginal-fistula/symptoms-causes/syc-20377108
8. Tuma F, McKeown DG, Al-Wahab Z. Fístula rectovaginal. Treasure Island (FL): StatPearls Publishing; 2021 [acceso 02/11/2025];1(54). Disponible en: https://www.ncbi. nlm.nih.gov/books/NBK535350
9. Mayo Clinic. Fístula rectovaginal - Diagnóstico y tratamiento; 2024. [acceso 03/11/2025]. Disponible en: https://www.mayoclinic.org/es/diseases-conditions /rectovaginal-fistula/diagnosis-treatment/drc-20377113
10. Venara A, Houlet E, Pouopard E, Andre M, Bouet PE. Surgical repair of obstetric rectovaginal fistula: a systematic review of the literature and meta-analysis. Tech Coloproctol. 2025 [acceso 04/11/2025];29(1):95. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC 11976829
11. Asmare L, Bayou FD, Arefaynie M, Tsega Y, Endawkie A. Revisión sistemática y metaanálisis sobre el tiempo de recuperación de la fístula obstétrica en Etiopía, BMC Women's Health. 2023;24(1):547. DOI: https://doi.org/10.1186/s12905-024-03391-7
12. Cosson G, Giraudet E, Declas S. Delplanque E. Tratamiento de fístula rectovaginal
y de las secuelas obstétricas. EMC - Ginecología-Obstetricia. 2020;56(2):1-12. DOI:
https://doi.org/10.1016/S1283-081X(20)43720-8
13. Bannura GC, Barrera EA, Melo LC, Ilianis FF, Gallardo VC. Alternativas quirúrgicas en el manejo de la fístula rectovaginal: experiencia de 25 años. Rev Chil Cir. 2017 [acceso 04/11/2025];69(2):144-50. Disponible en: https://www.elsevier.es/es-revista-revista-chilena-cirugia-266-articulo-alternativas-quirurgicas-el-manejo-fistula-S03793 8931630 120X
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 http://creativecommons.org/licenses/by-sa/4.0
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
La Revista Cubana de Cirugía forma parte de la biblioteca SciELO, que comprende la publicación en línea de colecciones nacionales de revistas. Se adopta la licencia Creative Commons (CC), internacionalmente adoptada por las colecciones de revistas científicas de acceso abierto.
La Licencia de Atribución No Comercial 4.0 Unported, elegida para las colecciones de SciELO, permite a los usuarios acceder, exhibir públicamente la obra, así como crear obras derivadas con la condición de darle crédito al autor, tal como se especifica en la revista. A través de esta licencia queda explícita la restricción del uso comercial de los contenidos.
