Depending on the size and location of the fistula, you may have minor symptoms or significant problems with continence and hygiene. Signs and symptoms of a rectovaginal fistula may include:
- Passage of gas, stool or pus from your vagina
- A foul-smelling vaginal discharge
- Recurrent vaginal or urinary tract infections
- Irritation or pain in the vulva, vagina and the area between your vagina and anus (perineum)
- Pain during sexual intercourse
When to see a doctor
If you experience any signs or symptoms of rectovaginal fistula, make an appointment to see your doctor. A fistula may be the first indication of a more serious problem, such as an area of infection where pus has collected (abscess) or cancer. It's important that your doctor identify the cause of the fistula and determine whether and when it should be repaired. Depending on the cause, your doctor may refer you to a colorectal or gynecologic surgeon.