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Post Rectocele Complications | Rectovaginal Fistula

From the Pelvic Floor Articles List

post rectocele complicationsFour days after my rectocele surgery, I had air passing from my vagina, like passing wind. On the fifth day, it got worse and I passed a large amount of liquid stool through my vagina. What is going on?


Call your doctor immediately to report this issue. It is most likely a rectovaginal fistula, or abnormal opening, that has formed between the bowel and the vagina, allowing stool and air to leak through.

Fistulas are not uncommon following abdominal surgeries, particularly rectocele surgery, in which the fascia between the vagina and rectum is already weakened prior to the procedure. Fistulas can be caused by any injury, infection, or inflammation of the organ(s) involved. Some women experience a fistula between the bladder and the vagina, and others report stool leakage that indicates a fistula has formed between the bowel and the vagina. Leakage might range from mere drops that appear intermittently to what some describe as a “gush” of urine or stool. Any discharge that does not seem normal warrants a call to the doctor’s office to be sure. A physician can determine relatively quickly whether a fistula has formed or not and will have a plan to quickly fix the problem.

The majority of fistulas require surgical repair, and the success rate of such repairs is about 75%, depending on the size and location of the fistula in question. Though no one is eager to undergo more surgery, it is important to take care of the issue quickly to prevent infection or to get it quickly under control.


This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

09-25-2011 - 08:23 AM


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