Post-Coital Rectovaginal Fistula: A Rare Case
DOI:
https://doi.org/10.51273/esc23.25192.cr1Keywords:
Rectovaginal Fistula, Post-CoitalAbstract
Background: The most common cases of rectovaginal fistula are reported after obstetrical injury however rarely post-coital injuries may also result in a rectovaginal fistula. Coital injuries reported in the literature mostly are due to sexual abuse or violence. Consenting sexual intercourse is a very rare cause as in this case.
Case: The case of a 27-year-old woman who had a post-coital injury after first intercourse leading to the formation of a rectovaginal fistula is reported. She has two failed repairs previously. On examination she has a 1.5cm low fistula. The patient was admitted, after gut preparation her repair was done by the vaginal route by converting the fistula to a fourth degree tear and by doing layered closure.
Conclusions: Rectovaginal fistula after consenting sexual intercourse is rare and may occur due to lack of sex education.
References
Debeche-Adams TH, Bohl JL. Rectovaginal fistulas. Clin Colon Rectal Surg. 2010;23(2):99–103.
Takano S, Boutros M, Wexner SD. Gracilis transposition for complex perineal fistulas: rectovaginal fistula and rectourethral fistula. Dis Colon Rectum. 2014;57(4):538.
Adelowo A, Ellerkmann R, Rosenblatt P. Rectovaginal fistula repair using a disposable biopsy punch. Female Pelvic Med Reconstruct Surg. 2014;20(1):52–5.
Seow-Choen F, Seow-En I. Martius flap for ano-vaginal fistula: a photographic step by step guide. Tech Coloproctol. 2013;17(4): 467–8.
Pinto RA, Peterson TV, Shawki S, Davila GW, Wexner SD. Are there predictors of outcome following rectovaginal fistula repair? Dis Colon Rectum. 2010;53(9):1240–7..
Gottgens KW, Smeets RR, Stassen LP, Beets G, Breukink SO. The disappointing quality of published studies on operative techniques for rectovaginal fistulas: a blueprint for a prospective multi-institutional study. Dis Colon Rectum. 2014;57(7):888– 98
7.Jennifer M. Austin, Christie M. Cooksey, Laura L. Minikel, Eve F. Zaritsky, Postcoital Vaginal Rupture in a Young Woman with No Prior Pelvic Surgery,The Journal of Sexual Medicine, 2013;10( 8) 2121-2124
Meeks G, Ghafar M (2012) Rectovaginal fistula. Glob. Libr. Women’s med.
Onsrud M, Sjøveian S, Luhiriri R, Mukwege D (2008) Sexual violence
Muleta M, Williams G. Postcoital injuries treated at the Addis Ababa Fistula Hospital, 1991–97. Lancet 1999;354:2051.
Singh, Nisha (2013) Case Series of Three Postcoital Rectovaginal Fistulae. J gynecol surg 29: 70. 4.
Abdullahi HM, Yakasai IA (2014) Coital laceration resulting in rectovaginal fistula: a case report. Int jr curr Microbiol App sci 3 845-849
Symeonidis N, Ballas K, Micha A, Psarras K, Pavlidis T. Consensual intercourse resulting in an extensive rec-tovaginal tear: an extremely rare occurrence. J Sex Med. 2015;12(2):572-575.
Purwar B, Panda SN, Odogwu SO, Joseph AT. Recto-vaginal sex leading to colostomy and recto-vaginal repair Int J STD AIDS 2008;19:57-58.
Diop.B, Bape. A, Konate.I, Sall.I, Ly.T, Wane.Y. Postcoital Rectovaginal Fistula: A Case Report journal of gyneacological surgery.2012;28 (4) 292-293
Downloads
Published
How to Cite
Issue
Section
