Your doctor will perform a physical exam to try to locate the rectovaginal fistula and check for a possible tumor mass, infection or abscess. The doctor's exam includes inspecting your vagina, anus and the area between them perineum with a gloved hand. Unless the fistula is very low in the vagina and readily visible, your doctor may use a speculum to see inside your vagina. An instrument similar to a speculum, called a proctoscope, may be inserted into your anus and rectum to check for problems.
Rectovaginal fistula - Diagnosis and treatment - Mayo Clinic
Abscess and Fistula Expanded Information
Sign up for our newsletter to stay up-to-date with the latest in digestive health in Europe and around the world. Below we discuss some of the frequent and important mistakes made in the management of perianal disease based, where possible, on evidence, and where not, on clinical experience. Rectal bleeding is a frequent symptom and conditions such as haemorrhoids are a common finding at anorectal examination. If haemorrhoids are a common finding, their presence should not reassure a doctor that a more sinister diagnosis is absent and instead such a diagnosis should be sought and excluded. Anal fissure is believed to be caused by trauma to the anal mucosa, often by the passage of a hard stool, which fails to heal in some patients and so becomes a chronic fissure. Treatment of the fissure is aimed at reversing the conditions that allow its persistence and chronicity, for example, through relaxation of the internal anal sphincter.
Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula. Certain conditions that affect your lower digestive tract or anal area may also increase your risk. These include:.