Recto-Vestibular Fistula

Treatment for Recto-vestibular fistula


Recto-vestibular fistula is one of the types of Anorectal Malformations. A normal bowel movement refers to the state of passing solid waste from the colon that is large intestine to the rectum (the end of the large intestine) and comes out through the anus. If your child has a fistula (ARM) her/his anus and rectum may remain undeveloped. Consult a pediatric specialist. To receive fistula treatment for children in Siliguri, contact Dr. Manish Madhav, the best pediatric surgeon in Siliguri, West Bengal.

Treatment for Recto-vestibular fistula :-

Complications with anorectal malformations:

  1. Vertebral Defects: affect the spinal column bones that can lead to spinal abnormalities.
  2. Cardiac Defects: cause congenital heart issues.
  3. Renal defects: kidney and bladder abnormalities.


Through physical exam right after childbirth or perinatal ultrasound fistula can be diagnosed.

The types of the testing process:

  1. Abdominal X-ray
  2. Spinal Ultrasound
  3. Pelvic and Renal Ultrasound
  4. MRI
  5. Echocardiogram.

To treat fistula colostomy surgery is mostly advised by the doctors.

Colostomy Surgery: this surgical procedure requires an opening for the large intestine through the abdominal wall and then needs to bring a part of the colon through that opening. A colostomy can be either permanent or temporary. The opening section is known as stoma, helping the body waste(stool) pass out into a bag that is added to the abdomen. During ‘loop colostomy, a loop of the large intestine is pulled out through a cut in the abdomen. And then it’s stitched to the skin of your abdomen to make an opening (stoma).

Benefits of colostomy surgery:

Colostomy surgery can be beneficial for your child in many ways.

  • Helps prevent birth defects like missing of the anal opening
  • Bowel disease
  • Injury to rectum and colon
  • Colon cancer
  • Return cancer
  • Diverticulitis

After surgery care: The experts’ advice is to stay on a liquid diet for two days. A colostomy looks different than a normal stoma, the dark swollen look will fade away within a few weeks. You’ll see the stool your child is discharging is runny, which is expected after the surgery.

Things to remember:

  1. Change the bag regularly, otherwise, it’ll cause skin infections
  2. Learn from your health care provider how to remove the bag systematically.
  3. Use barrier creams given by the doctor.
  4. Remove the waste once the pouch is one-third filled.

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