Table 3 Characteristics of patients with rectovaginal fistulas

1

2 mm, suprasphincteric

6/2017 spontaneous delivery

FGM

28, 2 para

12/2019 vaginal fistula excision, tension-free multilayer closure during a subsequent delivery per cesarean section

2

10 mm, suprasphincteric

12/2017 spontaneous delivery

37, 1 para

12/2017 protective ileostomy

2/2018 vaginal fistula excision, tension-free multilayer closure

8/2018 LIFT (ligation of intersphincteric fistula tract)

12/2018 ileostomy retrocession

3

20 mm, suprasphincteric

2011

spontaneous delivery

24, 1 para

06.01/2017

protective sigmoid colostomy, vaginal and transperineal fistula closure and anal sphincter reconstruction

18.01/2017

vaginal fistula closure

5/2017

transperineal fistula closure

8/2015

transperineal fistula closure

7/2018 vaginal fistula excision, tension-free multilayer closure and Martius-flap interposition

12/2018 colostomy

retrocession

4

10 mm, suprasphincteric

4/2016

spontaneous delivery with third-degree perineal tear

25, 1 para

7/2018

vaginal fistula excision, tension-free multilayer closure during a subsequent delivery per cesarean section

5

5 mm, suprasphincteric

2003

spontaneous delivery

27, 1 para

5/2018 vaginal fistula excision, tension-free multilayer closure and Martius-Flap interposition (development of an anoperineal fistula)

6

3 fistulas a 3 mm, suprasphincteric and transsphincteric

12/2016

spontaneous delivery with fourth-degree perineal tear

31, 1 para

12/2016 protective sigmoid colostomy 12/2016

revision of the sigmoid colostomy 2/2017 closure of the sigmoid colostomy and protective transverse colostomy, fistula closure using a transanal rectal-mucosa flap

6/2017 conversion of the rectovaginal fistulas to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

10/2017 transverse colostomy retrocession

7

15 mm, transsphincteric

9/2011

spontaneous delivery with fourth-degree perineal tear

24, 1 para

two vaginal fistula closure in Libya

5/2013 protective ileostomy,

conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

8/2013 ileostomy retrocession

8

5 mm, suprasphincteric

2000 forceps-assisted vaginal delivery

21, 1 para

7/2013 vaginal fistula excision, tension-free multilayer closure and anal sphincter repair

9

20 mm, suprasphincteric

8/2013

spontaneous delivery with fourth-degree perineal tear

37, 2 para

8/2013 vaginal fistula closure

8/2013 protective ileostomy, conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

4/2014 ileostomy retrocession

10

10 mm, suprasphincteric

6/2012

spontaneous delivery with fourth-degree perineal tear

38, 2 para

10/2012 and 2/2013 fistula closure

9/2013 vaginal fistula excision, tension-free multilayer closure

11

3 mm, transsphicteric

7/2012

vacuum-assisted vaginal delivery with fourth-degree perineal tear

30, 1 para

9/2013 transanal rectal-mucosa flap

12/2014 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

during a subsequent vaginal delivery

12

10 mm, transsphincteric

5/2014 spontaneous delivery with fourth-degree perineal tear

28, 1 para

5/2014 vaginal fistula closure

8/2014 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

13

4 mm, transsphincteric

2006 spontaneous delivery with third-degree perineal tear

30, 3 para

11/2014 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

3/2015 fistulectomy and tension-free multilayer closure

9/2016 protective ileostomy

9/2016 transanal rectal-mucosa flap

(persistent 2 mm suprasphinteric rectovaginal fistula)

14

3 mm, suprasphincteric

1/2013

spontaneous delivery with fourth-degree perineal tear

28, 1 para

8/2015 vaginal fistula excision, tension-free multilayer closure during a subsequent delivery per cesarean section

15

40 mm, suprasphincteric

6/2015

vacuum-assisted vaginal delivery with a button hole tear

31, 1 para

8/2015 vaginal fistula excision, tension-free multilayer closure

16

4 mm, suprasphincteric

5/2018

spontaneous delivery with third-degree perineal tear

30, 1 para

6/2018 protective transverse colostomy

9/2018 and 10/2018 vaginal fistula closure

3/2019 vaginal fistula excision, tension-free multilayer closure

8/2019 transverse colostomy retrocession

17

20 mm, transsphincteric

6/2018 vacuum-assisted vaginal delivery

34, 1 para

19.9/2018 fistulectomy, fistula closure with biomesh interposition and anal sphincter reconstruction

28.09.2018 protective descending colostomy

1/2019 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

5/2019 descending colostomy retrocession

18

25 mm, suprasphincteric

2/2017 vacuum-assisted vaginal delivery

26, 1 para

2/2017 vaginal fistula closure

2/2019 vaginal fistula excision, tension-free multilayer closure during a subsequent delivery per cesarean section

19

2 fistulas a 3 mm, transsphincteric

3/2017 vacuum-assisted vaginal delivery

30, 1 para

3/2017 and 4/2017 vaginal fistula closure

12/2018 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty during a subsequent cesarean section

20

3 mm, suprasphincteric

2016, spontaneous vaginal delivery

32, 1 para

3/2019 vaginal fistula excision, tension-free multilayer closure during a subsequent delivery per cesarean section

21

10 mm, subsphincteric

11/2016 spontaneous vaginal delivery

32, 1 para

1/2017 fistula closure

4/2019 perineal fistula excision, tension-free multilayer closure and anal sphincter reconstruction during a subsequent delivery per cesarean section

22

2 mm, transsphincteric

1990, spontaneous delivery with third-degree perineal tear

24, 1para

6/2019 LIFT (ligation of intersphincteric fistula tract)

23

15 mm, suprasphincteric

9/2004 spontaneous delivery

30, 1 para

10/2004 and 11/2004 fistula closure

5/2006 protective ileostomy

11/2006 vaginal fistula excision, tension-free multilayer closure

3/2007 ileostomy retrocession

24

20 mm, transsphincteric

8/2011 spontaneous delivery with fourth degree perineal tear

29, 1para

10/2011 vaginal fistula excision, tension-free multilayer closure and anal sphincter reconstruction

25

20 mm, suprasphincteric

10/2008 vacuum-assisted vaginal delivery

32, 1 para

10/2008 protective ileostomy

spontaneous fistula closure

2/2009 ileostomy retrocession

26

4 mm, suprasphincteric

2004 spontaneous delivery

25, 1 para

11/2009 vaginal fistula excision, tension-free multilayer closure

5/2010 vaginal fistula excision, tension-free multilayer closure

(2 mm persistant rectovaginal fistula)

27

3 mm, suprasphincteric

2000

forceps-assisted vaginal delivery

31, 4 para

3/2008 vaginal fistula excision, tension-free multilayer closure

28

2 mm, transspincteric

9/2008 spontaneous vaginal delivery with third-degree perineal tear

29, 1 para

7/2010 conversion of the rectovaginal fistula to a fourth-degree perineal tear, fistulectomy, tension-free multilayer closure, anal sphincter reconstruction, levatorplasty, perineoplasty

during a subsequent vaginal delivery

29

2 mm, suprasphincteric

6/2017 vacuum-assisted vaginal delivery with third-degree perineal tear

26, 1 para

3/2020 spontaneous fistula closure during a subsequent pregnany and delivery per cesarean section