Rectovaginal exam can identify areas of tenderness and nodularity along the
rectovaginal septum.
Rectovaginal septum, endometriosis or adenomyosis: laparoscopic management in a series of 231 patients.
The
rectovaginal septum was dissected down to the level of the pelvic foor muscles.
The
rectovaginal space is from the recto-uterine peritoneal fold (pouch of Douglas) to the level of the perineal body.
(9) In another study, HAM as a bioprosthesis was used with TachoSil[R] for the repair of
rectovaginal fistula in a rabbit model.
The development of
rectovaginal or pouch-vaginal fistulas is an even more challenging situation within the anal fistula CD topic.
Successful treatment of the
rectovaginal fistula is dependent on the etiology, size of the fistula, location, status of the sphincter, and associated systemic disorders, such as diabetes mellitus and autoimmune disorders [1-5].
The aim of this study was to determine the proportion of SDSE colonization at 35-37 weeks of gestation from 15,144
rectovaginal swab cultures and to assess the rate of early maternal and neonatal postpartum infections associated with SDSE colonization compared to patients with a positive Streptococcus B culture or a negative culture.
Since the extrinsic form of the disease is more common resulting from endometriosis affecting the
rectovaginal septum or uterosacral ligaments and surrounding tissues, patients present with dyspareunia, dysmenorrhea, and pelvic pain [103].
Gastrointestinal abnormalities have been described in patients with RTS, including esophageal stenosis, pyloric stenosis, annular pancreas, anal atresia, and
rectovaginal fistula [6].
Vaginal examination revealed exquisite pain in the right vaginal fornix and the finding of a painful adnexal mass in the
rectovaginal pouch of Douglas.
In addition, the dissection of Denonvilliers' fascia in men and the
rectovaginal septum in women is thought to cause herniation [9].
