1. Department of Colon and Rectal Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave Desk A-30, Cleveland, OH 44195, USA;2. The Cleveland Clinic Foundation, 9500 Euclid Avenue Desk A-30, Cleveland, OH 44195, USA
Abstract:
Pouch-vaginal fistula is a dreaded complication after ileal pouch-anal anastomosis creation and can greatly impact patients’ quality of life. Success rates with surgical closure vary in the literature and there is no single gold standard surgical method for closing the fistula. This is a complex condition that requires detailed history taking and examination. Success may not be always achieved and recurrences are common. Consideration should be given for treating this group of women in specialized centers by expert surgeons.