Surgeons Should Not Hesitate to Perform Episioproctotomy for Rectovaginal Fistula Secondary to Cryptoglandular or Obstetrical Origin

Abstract

Despite episioproctotomy being a more extensive procedure, healing rates were comparable between episioproctotomy and rectal-advancement flaps. In this select population, episioproctotomy may provide better continence and may confer better sexual function compared with rectal-advancement flap. In appropriate patients surgeons should not hesitate to perform episioproctotomy on cryptoglandular or obstetrical-associated rectoanovaginal fistula.