Treatment of Anorectal Fistula in Rectovaginal Fistula of Obstetric or Cryptoglandular Origin
Clinical Scenario
This protocol applies to anorectal fistula presenting as rectovaginal fistula arising from obstetric, cryptoglandular, or other benign and minimally symptomatic causes.
Rectovaginal Fistula
Nonoperative management is typically recommended as the initial approach for obstetrical rectovaginal fistula, and may also be considered for other benign and minimally symptomatic fistulas of cryptoglandular origin.
Initial Management Approach
The first-line strategy is nonoperative, centred on supportive local measures and bowel management over a defined observation period.
Specific components, duration, and escalation criteria are detailed in the full protocol.
Treatment Goal
Resolution of acute inflammation and infection.
References
DOI: 10.1097/DCR.0000000000002473
- Nonoperative management is typically recommended for the initial care of obstetrical rectovaginal fistula and may also be considered for other benign and minimally symptomatic fistulas.
- In most cases, the initial management of RVFs, especially those of obstetric cause, is nonoperative and may include baths, wound care, debridement as needed, antibiotics in cases of infection, and stool-bulking fiber supplements for a period usually of 3 to 6 months.
- The aim of this approach is to resolve acute inflammation and infection.
View source ↗