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Post Rectocele Complications | Rectovaginal Fistula

From the Pelvic Floor Articles List



Four 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.

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HysterSisters Doctor Directory
Steven McCarus, M.D.
400 Celebration Place Suite310
Celebration FL 34747
4073034190
Dionysios Veronikis, M.D.
621 S. New Ballas Road, Tower B, Suite 2002
St. Louis MO 63141
314-251-6753
Katherine Hsiao, M.D.
3905 Sacramento Street, Suite 204
San Francisco CA 94118
415-876-8500
Charles Miller, M.D.
120 Osler Drive
Suite 100
Naperville IL 60540
630-428-2229
Ruslana Kadze, M.D.
5525 Etiwanda Avenue
Suite 228
Tarzana (Los Angeles) CA 91356
818-343-1717
Aarathi Cholkeri-Singh, M.D.
120 Osler Drive
Ste. 100
Naperville IL 60540
630-428-2229
Devin Garza, M.D.
12201 Renfert Way, STE# 215
Austin TX 78758
512 425-3830
David Mainman, M.D.
Desert Bloom Obstetrics & Gynecology
6452 E. Carondelet Drive, Suite A
Tucson AZ 85710
520-885-5300
Jennifer Elliott, M.D.
980 Johnson Ferry Road
Suite 720
Atlanta GA 30342
(404) 252-3898

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April 21,2014

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