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Jul 13, 2025

Has anyone experienced a rectovaginal fistula after surgery?

This topic is about a medical issue that can occur after stoma-reversal surgery, known as a rectovaginal fistula. This condition happens when there is an abnormal connection between the rectum and the vagina, which can cause stool to pass through the vagina. Here are some insights and advice shared by others who have experienced or know about this condition:

- Many people confirm that passing stool through the vagina is a typical sign of a rectovaginal fistula. They emphasize the importance of getting a surgical evaluation and repair as soon as possible.

- It is suggested to ask the surgeon for a CT scan to help confirm the diagnosis of a rectovaginal fistula.

- Successful repairs of fistulas are possible. For example, one person's mother had her fistula surgically closed in 1990. Another person had their fistula fixed during a later surgery after a bowel perforation from a colonoscopy.

- If a primary repair does not work or healing seems unlikely, creating a colostomy or permanent stoma can help relieve symptoms and prevent further issues:
1. Two people reported long-term relief after getting a colostomy. One of them still has clear drainage from the fistula that did not heal, but no longer experiences stool leakage.
2. Another person had two unsuccessful repair attempts and eventually needed a stoma, which they found to be an improvement over ongoing fistula problems.

- Members of the discussion express empathy, acknowledging that dealing with a rectovaginal fistula is painful and distressing. They encourage seeking timely medical intervention.
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