Rectovaginal Fistulas: Symptoms and Concerns

Rectovaginal fistula

Doctor, I have a question: After giving birth, I sometimes pass gas from my vagina, and at times it makes a whistling sound like a flute.
Is this definitely a fistula? If I don't address it for now, will the fistula get larger? Thank you.

Abc, 20~29 year old female. Ask Date: 2016/07/19

Dr. Ke Fangxu reply Surgery

Based on your description, it is indeed possible that you have a vaginal-rectal fistula caused by childbirth trauma.
It is best to have a physician examine you to confirm the diagnosis.
If the fistula is not severe, it may heal on its own; however, if it does not heal, surgical repair may be necessary.
Please consult a colorectal surgeon as soon as possible to confirm the diagnosis and determine the appropriate treatment.

Reply Date: 2016/07/19

More Info

Rectovaginal fistulas are abnormal connections between the rectum and the vagina, which can occur due to various reasons, including childbirth, pelvic surgery, or inflammatory bowel disease. The symptoms you are experiencing, such as passing gas from the vagina or hearing a sound similar to blowing a flute, are indeed indicative of a potential rectovaginal fistula.
When a rectovaginal fistula is present, it can allow gas or stool to pass from the rectum into the vagina, leading to the symptoms you described. It's important to note that while these symptoms can be embarrassing and uncomfortable, they are also a sign that medical evaluation is necessary.
If left untreated, a rectovaginal fistula can potentially worsen over time. The size of the fistula may increase, and the symptoms can become more pronounced. Additionally, the presence of a fistula can lead to complications such as recurrent infections, vaginal discharge, and further discomfort.
In terms of management, it is crucial to consult with a healthcare professional who can perform a thorough examination and possibly imaging studies to confirm the diagnosis. Treatment options typically include surgical intervention to repair the fistula, especially if it is causing significant symptoms or complications.
It is also worth noting that the longer a fistula remains untreated, the more challenging it may become to repair. Therefore, while it may be tempting to ignore the symptoms, seeking medical advice is highly recommended.
In summary, the symptoms you are experiencing are concerning and suggest the presence of a rectovaginal fistula. It is advisable to seek medical evaluation promptly to determine the best course of action. Early intervention can prevent complications and improve your quality of life.

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