Transperineal Closure of Rectovaginal Fistula Treatment in India
About Transperineal Closure of Rectovaginal Fistula
Key Highlights
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Direct surgical access to the fistula tract through the perineum.Often avoids the need for an abdominal incision, leading to less post-operative pain.Layered closure technique aims to provide a robust repair with healthy tissue.Can be highly effective for low or mid-level rectovaginal fistulas.Focuses on restoring normal bowel and vaginal function.
Who is this surgery for?
- Persistent rectovaginal fistula causing symptoms like fecal incontinence or recurrent vaginal infections.
- Fistulas resulting from obstetric trauma, such as prolonged labor or instrumental delivery.
- Fistulas related to inflammatory bowel disease (e.g., Crohn's disease).
- Fistulas occurring after pelvic surgery (e.g., hysterectomy) or radiation therapy.
- Failure of conservative management or previous repair attempts.
How to prepare
- Complete medical evaluation, including imaging (like MRI or endoanal ultrasound) to map the fistula.
- Bowel preparation (clear liquid diet, laxatives, or enemas) to empty the colon.
- Pre-operative antibiotics to minimize infection risk.
- Discussion of anesthesia options (typically general or regional).
- Management of any underlying conditions, such as optimizing treatment for Crohn's disease.
Risks & possible complications
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Recurrence of the fistula.
- Injury to surrounding structures like the anal sphincter, which could affect continence.
- Pain, discomfort, or temporary difficulty with urination.
- Scarring or narrowing (stenosis) of the vagina or rectum.
Recovery & hospital stay
- Hospital stay is typically required for pain management and initial monitoring.
- A urinary catheter may be in place for a short period.
- Diet is gradually advanced from clear liquids to soft foods as bowel function returns.
- Stool softeners are prescribed to prevent straining during bowel movements.
- Sitz baths (warm water soaks) are recommended for hygiene and comfort.
- Avoidance of heavy lifting, strenuous activity, and sexual intercourse for several weeks as advised by the surgeon.
- Follow-up appointments are crucial to monitor healing and address any concerns.
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Typical hospital stay:
2-4 days
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Expected recovery time:
4-6 weeks
Frequently Asked Questions
If you are considering transperineal closure of rectovaginal fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for transperineal closure of rectovaginal fistula in India include Manipal Hospital Mukundapur, Manipal Hospital Dwarka, SIMS Hospital Vadapalani, Manipal Hospital Old Airport Road, Kamineni Hospital, King Koti, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform transperineal closure of rectovaginal fistula. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for transperineal closure of rectovaginal fistula compare across other countries where we have data.
Top hospitals for Transperineal Closure of Rectovaginal Fistula in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing transperineal closure of rectovaginal fistula.
Hyderabad, India
20 Doctors
Vikram Patel, a 58-year-old retired accountant,...
Vikram Patel, a 58-year-old retired accountant, had been living with a distressing secret for two years following a difficult prostate cancer surgery that resulted in a rectovaginal fistula. As a transgender woman, she experienced profound emotional and physical distress from persistent fecal leakage and recurrent vaginal infections, which made her feel disconnected from her body and isolated. Her gynecologist, Dr. Chen, explained that a transperineal closure was the most effective way to repair the tract and restore anatomy. The surgery itself was a relief, a concrete step towards healing. Her recovery required six weeks of meticulous wound care and a temporary colostomy to allow the repair to heal. While challenging, the outcome was transformative. The fistula closed completely. Emotionally, Vikram moved from a place of shame and isolation to one of profound relief and regained dignity, feeling whole and aligned in her body once more.
Obstetrics and Gynaecologists for Transperineal Closure of Rectovaginal Fistula
Explore experienced obstetrics and gynaecologists who regularly perform transperineal closure of rectovaginal fistula and provide pre- and post-operative care in India.
- 36 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 35 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 33 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 29 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 17 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Jayanagar, Bangalore
- 21 Years Experience
- Obstetrics and Gynaecologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Obstetrics and Gynaecologist
SIMS Hospital Vadapalani, Chennai
- 22 Years Experience
- Obstetrics and Gynaecologist
SIMS Hospital Vadapalani, Chennai
- 15 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Siliguri, Siliguri
- 34 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Hebbal, Bangalore
- 9 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 16 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 8 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital, Tadigadapa, vijayawada
- 8 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital, Tadigadapa, vijayawada
- 11 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 9 Years Experience
- Obstetrics and Gynaecologist
Manipal Hospital Bhubaneswar, Bhubaneshwar
- 36 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital, King Koti, Hyderabad
- 30 Years Experience
- Obstetrics and Gynaecologist
Kamineni Hospital, King Koti, Hyderabad
- 45 Years Experience
- Obstetrics and Gynaecologist
Artemis Hospital Gurgaon, Gurgaon