Colorectal Surgeon Dr. Manpreet Grewal discusses the diagnosis and treatment of a rectovaginal fistula.

A rectovaginal fistula is a tunnel-like opening that develops between a woman’s vagina and rectum, according to Dr. Manpreet Grewal surgeon.
A hole or fistula is created when trauma to the vaginal tissue causes blood to stop flowing to the tissue, which results in the tissue dying. The fistula allows stool and gas to enter the vagina, which can lead to a variety of symptoms, says Dr. Manpreet Grewal surgeon.
A rectovaginal fistula rarely causes pain or discomfort, and you’re unlikely to be able to feel the opening with your fingers, but you may notice a variety of other uncomfortable issues such as infections, gas, stool leakage, and painful intercourse.
Dr. Manpreet Grewal surgeon says a rectovaginal fistula is usually diagnosed during a physical examination or a pelvic exam with a family physician or a primary care provider. After a physical exam, the healthcare provider will likely refer you to a gynecologist or a colorectal surgeon for a discussion of appropriate treatment.

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