• 作者：M. Queralto^a ; ^{michel.queralto@wanadoo.fr} ; W. Badiou^b ; G. Bonnaud^a ; L. Abramowitz^c ; Y. Tanguy Le Gac^b ; X. Monrozies^b
• 关键词：Fistules de la maladie de Crohn ; Fistules recto-vaginales ; Chirurgie de la maladie de Crohn ; Flap ou lambeau d&rsquo ; avancement vaginal
• 刊名：Gynecology Obstetrique & Fertilite
• 出版年：2012
• 期刊代码：108_12979589
• 类别：med
• 出版时间：March, 2012
• 卷：40
• 期：3
• 页码：143-147
• 文件大小：343 K

Objectives

To evaluate efficacy and functional results (sexual activity) of vaginal flap for rectovaginal fistula in Crohn's disease.

Patients and methods

From May 2004 to March 2008, we proposed a vaginal flap in patients who had a rectovaginal fistula in Crohn's disease and for which rectal flap was technically impossible. Monitoring included a clinical examination at 1 month and every 3 months for 1 year, Perianal Disease Activity Index for sexual activity evaluation. Every year and in April 2009 the nursing team during a telephone interview filled a standardized questionnaire.

Results

We treated 5 patients. At 6 months, 4 of 5 patients were healed. At 7 months, 1 patient presented a new flare up of CD with reopening of the fistula. The other 3 patients were still healed at a median follow-up of 30.66 months (15 to 59). One patient presented dyspareunia during 3 months.

Discussion and conclusion

Vaginal flap is an effective technique that entails neither prolonged dyspareunia nor fecal incontinence. Stoma is not systematic.