Rectovaginal Fistula and Uterine Prolapse: A Transvaginal Uterine-Sparing Single-Stage Surgical Approach

Abstract

Abstract Background: In cases of women with inflammatory bowel disease and pelvic floor disorders, the common practice has been to manage their complaints in separate surgical stages. Case: We present a patient with Crohn's disease complicated by prior colostomy and recurrent rectovaginal and perianal fistulas with symptomatic stage 3 uterovaginal prolapse and rectovaginal fistula. She successfully underwent a transvaginal fistula repair and uterine-sparing prolapse correction without intestinal diversion. Conclusions: Patients with inflammatory bowel disease and multiple pelvic floor disorders may be successfully managed with a single-stage surgical approach within a multidisciplinary setting. (J GYNECOL SURG 31:289)