Ileal Pouch-Anal Anastomosis-Vaginal Fistula: A Review

Abstract

Pouch-vaginal fistula occurs in 6.3 (range, 3.3-15.8) percent of female patients with an ileal pouch-anal anastomosis. Sepsis and technical factors are the most common contributors. It is the cause of considerable morbidity. Management depends on the level of the fistula, the amount of pelvic scar tissue, and previous treatments. An algorithm for surgical treatment is suggested.

Ileal pouch fistulas after restorative proctocolectomy: management and outcomes

“…Ileal pouch fistulas are an uncommon and devastating complication for patients, and a challenging problem for surgeons. Several studies have assessed ileal pouch-vaginal fistula formation after RPC with IAA [16][17][18][19][20], but little has been published on overall perianal fistula formation after RPC.…”

S3-Leitlinie: Rektovaginale Fisteln (ohne M. Crohn)

“…In einem Review von Lolohea et al [161] Ein weiterer vermuteter Anstieg der Inzidenz von rektovaginalen Fisteln fand sich mit Einführung der technisch aufwändigeren Operationsverfahren STARR ("stapled transanal rectal resection") bzw. TRANSTAR ("transanal stapled resection") [25,87,131,193,[217][218][219]276].…”

Trans-vaginal repair of a recurrent pouch–vaginal fistula

“…Pouch-vaginal fistula (PVF) occurs in 4-16% of female patients after ileal pouch-anal anastomosis [1]. It is a devastating complication for the patient and a technical challenge for the surgeon.…”