U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Vaginal fistula

MedGen UID:
21812
•Concept ID:
C0042253
•
Anatomical Abnormality
Synonyms: Fistula, Vaginal; Fistulas, Vaginal; Vaginal Fistula; Vaginal Fistulas
SNOMED CT: Fistulous opening in vagina (45135002)
 
HPO: HP:0004320

Definition

The presence of a fistula of the vagina. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVaginal fistula

Conditions with this feature

Oculogastrointestinal-neurodevelopmental syndrome
MedGen UID:
1779113
•Concept ID:
C5543355
•
Disease or Syndrome
Oculogastrointestinal neurodevelopmental syndrome (OGIN) is characterized by microphthalmia and/or coloboma in association with other congenital anomalies, including imperforate anus, horseshoe kidney, and structural cardiac defects. Hearing loss and severe developmental delay are also observed in most patients (Zha et al., 2020; Mor-Shaked et al., 2021).
See: Condition Record
Oculogastrointestinal-neurodevelopmental syndrome

Professional guidelines

PubMed

Uretero-vaginal fistulas - clinical presentation, treatment and literature overview.
Pyra K, Szmygin M, Szmygin H, Jargiello T, Rechberger T, Wozniak S
Ginekol Pol 2022;93(6):501-505. Epub 2022 Mar 22 doi: 10.5603/GP.a2021.0240. PMID: 35315024
Updates in the treatment of vaginal cancer.
Jhingran A
Int J Gynecol Cancer 2022 Mar;32(3):344-351. doi: 10.1136/ijgc-2021-002517. PMID: 35256422Free PMC Article
FIGO initiative for the prevention and treatment of vaginal fistula.
Browning A, Patel TL
Int J Gynaecol Obstet 2004 Aug;86(2):317-22. doi: 10.1016/j.ijgo.2004.05.003. PMID: 15289120

Recent clinical studies

Etiology

Management and consequences of obstetrical anal sphincter injuries: Review.
Viannay P, de la Codre F, Brochard C, Thubert T, Meurette G, Legendre G, Venara A
J Visc Surg 2021 Jun;158(3):231-241. Epub 2021 Jan 14 doi: 10.1016/j.jviscsurg.2020.10.010. PMID: 33454307
Treatment of Pelvic Floor Disorders Following Neobladder.
Littlejohn N, Cohn JA, Kowalik CG, Kaufman MR, Dmochowski RR, Reynolds WS
Curr Urol Rep 2017 Jan;18(1):5. doi: 10.1007/s11934-017-0652-4. PMID: 28133711
Trends in the aetiology of urogenital fistula: a case of 'retrogressive evolution'?
Hilton P
Int Urogynecol J 2016 Jun;27(6):831-7. Epub 2016 Jan 7 doi: 10.1007/s00192-015-2919-y. PMID: 26744338Free PMC Article
Trans-vaginal repair of a recurrent pouch-vaginal fistula.
Harji DP, Maslekar S, Bruce C, Sagar PM
Tech Coloproctol 2011 Dec;15(4):483-5. Epub 2011 Jun 22 doi: 10.1007/s10151-011-0705-5. PMID: 21695439
Imperforate anus.
Adkins JC, Kiesewetter WB
Surg Clin North Am 1976 Apr;56(2):379-94. doi: 10.1016/s0039-6109(16)40884-4. PMID: 1265603

Diagnosis

Updates in the treatment of vaginal cancer.
Jhingran A
Int J Gynecol Cancer 2022 Mar;32(3):344-351. doi: 10.1136/ijgc-2021-002517. PMID: 35256422Free PMC Article
Female Voiding Dysfunction and Urinary Incontinence.
Vo A, Kielb SJ
Med Clin North Am 2018 Mar;102(2):313-324. Epub 2017 Dec 20 doi: 10.1016/j.mcna.2017.10.006. PMID: 29406060
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314
Vesico-vaginal fistula.
Chapple C, Turner-Warwick R
BJU Int 2005 Jan;95(1):193-214. doi: 10.1111/j.1464-410X.2005.04531.x. PMID: 15638929
Vesico-vaginal fistula: new perspectives.
Hilton P
Curr Opin Obstet Gynecol 2001 Oct;13(5):513-20. doi: 10.1097/00001703-200110000-00011. PMID: 11547033

Therapy

Current management of perianal Crohn's disease.
Mahmoud NN, Halwani Y, Montbrun S, Shah PM, Hedrick TL, Rashid F, Schwartz DA, Dalal RL, Kamiński JP, Zaghiyan K, Fleshner PR, Weissler JM, Fischer JP
Curr Probl Surg 2017 May;54(5):262-298. Epub 2017 Feb 22 doi: 10.1067/j.cpsurg.2017.02.003. PMID: 28583256
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314
Vesicovaginal fistulae.
Little NA, Juma S, Raz S
Semin Urol 1989 May;7(2):78-85. PMID: 2690255
Ileostomy in pregnancy.
Hudson CN
Proc R Soc Med 1972 Mar;65(3):281-3. PMID: 5083319Free PMC Article
The pyocystis syndrome.
Ray P, Taguchi Y, MacKinnon KJ
Br J Urol 1971 Oct;43(5):583-5. doi: 10.1111/j.1464-410x.1971.tb10046.x. PMID: 5118137

Prognosis

Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314
Trans-vaginal repair of a recurrent pouch-vaginal fistula.
Harji DP, Maslekar S, Bruce C, Sagar PM
Tech Coloproctol 2011 Dec;15(4):483-5. Epub 2011 Jun 22 doi: 10.1007/s10151-011-0705-5. PMID: 21695439
Urinary diversion in the vesico-vaginal fistula patient: general considerations regarding feasibility, safety, and follow-up.
Arrowsmith SD
Int J Gynaecol Obstet 2007 Nov;99 Suppl 1:S65-8. Epub 2007 Sep 18 doi: 10.1016/j.ijgo.2007.06.028. PMID: 17878056
Advances in the management of anorectal malformations.
Peña A, Hong A
Am J Surg 2000 Nov;180(5):370-6. doi: 10.1016/s0002-9610(00)00491-8. PMID: 11137690
Imperforate anus.
Adkins JC, Kiesewetter WB
Surg Clin North Am 1976 Apr;56(2):379-94. doi: 10.1016/s0039-6109(16)40884-4. PMID: 1265603

Clinical prediction guides

Repair of Vesicovaginal Fistulae: A Systematic Review.
Thompson JC, Halder GE, Jeppson PC, Alas A, Balgobin S, Dieter AA, Houlihan S, Miranne J, Sleemi A, Balk EM, Mama S, Meriwether KV, Antosh DD
Obstet Gynecol 2024 Feb 1;143(2):229-241. Epub 2023 Nov 30 doi: 10.1097/AOG.0000000000005468. PMID: 38033311
Long-term efficacy of endoscopic vacuum therapy for the treatment of colorectal anastomotic leaks.
Arezzo A, Verra M, Passera R, Bullano A, Rapetti L, Morino M
Dig Liver Dis 2015 Apr;47(4):342-5. Epub 2014 Dec 17 doi: 10.1016/j.dld.2014.12.003. PMID: 25563812
Urethrovaginal fistula: a rare complication of transurethral catheterization.
A L Dakhil LO
Female Pelvic Med Reconstr Surg 2014 Sep-Oct;20(5):293-4. doi: 10.1097/SPV.0000000000000054. PMID: 25181381
Perianal Crohn's disease.
Singh B, McC Mortensen NJ, Jewell DP, George B
Br J Surg 2004 Jul;91(7):801-14. doi: 10.1002/bjs.4613. PMID: 15227686
Advances in the management of anorectal malformations.
Peña A, Hong A
Am J Surg 2000 Nov;180(5):370-6. doi: 10.1016/s0002-9610(00)00491-8. PMID: 11137690

Recent systematic reviews

Repair of Vesicovaginal Fistulae: A Systematic Review.
Thompson JC, Halder GE, Jeppson PC, Alas A, Balgobin S, Dieter AA, Houlihan S, Miranne J, Sleemi A, Balk EM, Mama S, Meriwether KV, Antosh DD
Obstet Gynecol 2024 Feb 1;143(2):229-241. Epub 2023 Nov 30 doi: 10.1097/AOG.0000000000005468. PMID: 38033311
Management strategies and outcome of ureterovaginal fistulae: A systematic review and meta-analysis.
Bahuguna G, Panwar VK, Mittal A, Talwar HS, Mandal AK, Bhadoria AS, Chapple C
Neurourol Urodyn 2022 Feb;41(2):562-572. Epub 2022 Jan 15 doi: 10.1002/nau.24874. PMID: 35032348
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Robot-Assisted Vesico-Vaginal Fistula Repair: Our Technique and Review of the Literature.
Matei DV, Zanagnolo V, Vartolomei MD, Crisan N, Ferro M, Bocciolone L, Maggioni A, Coman I, de Cobelli O
Urol Int 2017;99(2):137-142. Epub 2017 Jul 26 doi: 10.1159/000475887. PMID: 28743109
The challenge of pouch-vaginal fistulas: a systematic review.
Maslekar S, Sagar PM, Harji D, Bruce C, Griffiths B
Tech Coloproctol 2012 Dec;16(6):405-14. Epub 2012 Sep 6 doi: 10.1007/s10151-012-0885-7. PMID: 22956207

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...