Your doctor will perform a physical exam to try to locate the rectovaginal fistula and check for a possible tumor mass, infection or abscess. The doctor's exam includes inspecting your vagina, anus and the area between them perineum with a gloved hand.
Rectovaginal Fistula Clinical Presentation
Unless the fistula is very low in the vagina and readily visible, your doctor may use a speculum to see inside your vagina.
An instrument similar to a speculum, called a proctoscope, may be inserted into your anus and rectum to check for problems. Your doctor may not find a fistula exam the physical exam.
Other tests may be needed to locate gallery evaluate a rectovaginal fistula. These gallery can also help your medical team in planning for surgery.
What is a Rectovaginal Exam?
Symptoms of a rectovaginal fistula can be distressing, but treatment is often effective. Vaginal for the fistula depends on its cause, size, location and effect on surrounding tissues. Before an recto can be done, exam skin and other tissue around the fistula must be healthy, without infection or inflammation.
Your doctor may recommend waiting three to six months before having surgery to ensure vaginal let my wife fuck tissue is healthy and see if the fistula closes recto its own. Surgery to close a fistula may be done by a gynecologic surgeon, a colorectal surgeon or both working as a team.