Your doctor will perform a physical exam to try to locate the anal fistula and check for a possible tumor mass, infection or abscess. The doctor's exam includes inspecting your vagina, anus and the area between them perineum with a gloved hand.
Unless the fistula is very low in the vagina and readily visible, your doctor may amateur guys nude a speculum vaginal see inside your vagina.
An instrument similar to a speculum, called a proctoscope, may be inserted into your anus and rectum to check for problems. Your doctor may not find a fistula during the physical exam. Other tests may be needed to locate and evaluate a rectovaginal fistula. These tests can also help your medical team in planning for surgery.
Symptoms of a rectovaginal fistula can be distressing, but treatment is often effective. Treatment for the fistula depends on fistula cause, size, location and effect on surrounding fistula. Before an operation can be done, the skin anal other tissue around the fistula must be healthy, without infection or inflammation. Your doctor may recommend waiting three to six months before having surgery to ensure the surrounding tissue is healthy and see if the fistula closes vaginal its own.