After the intravenous administration of the contrast agent, there is high-density material in both the bladder and the vagina, consistent with a VVF Treatment Treatment of patients with VVF must embrace their immediate and, in most cases, subsequent surgical [ncbi.nlm.nih.gov]

The symptoms reported by majority of patients are unbearable for social, emotional, and sexual morbidity, and may sometimes be disabling. [ncbi.nlm.nih.gov]

Rectovaginal fistula Rectovaginal fistula Specialty Gynecology Diagnostic method • No anal opening • A gloved finger or thermometer cannot be inserted into the infants rectum • No history of passage of meconium • Presence of abdominal distension • Presence [en.wikipedia.org]

Signs and symptoms of a rectovaginal fistula may include: Passage of gas, stool or pus from your vagina Foul-smelling vaginal discharge Recurrent vaginal or urinary tract infections Irritation or pain in the vulva, vagina and the area between your vagina [mayoclinic.org]

Anticholinergic drugs should be administered if bladder spasms occur. As far as causing discomfort to the patient, it has been suggested that these contractions may compromise healing of the repair. [ncbi.nlm.nih.gov]

Other causes of VVF include urologic or gynecologic instrumentation, including percutaneous procedure, retroperitoneal, vascular or pelvic surgery, infectious and inflammatory diseases, foreign bodies (including neglected pessaries), sexual trauma, vaginal [ncbi.nlm.nih.gov]

fistula 1. one communicating between the stomach and some other body part. 2. a passage created artificially through the abdominal wall into the stomach. horseshoe fistula one near the anus, having a semicircular tract with both openings on the skin. [medical-dictionary.thefreedictionary.com]