Re: Recto vaginal fistula and delivery mode

From: Anthony Evans (ahcevans@execpc.com)
Thu Apr 29 09:16:14 1999


On Thu, 29 Apr 1999 06:48:37 -0500, Ealgail@aol.com wrote:

>
>I am not sure I would accept this explanation. I would at least ask about
>sexual practices or injury to the vagina and even back to childhood
>experiences. This lady could have some more serious problems than a fistula.
>

I agree...should also biopsy the fistula to rule out malignancy as a cause.

Can't think of any reason she should not deliver vaginally.

Craig Evans, M.D., Ph.D. Vince Lombardi Cancer Clinic Milwaukee, WI





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