Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula?
Article first published online: 26 APR 2007
2007, IGCS and ESGO
International Journal of Gynecological Cancer
Volume 18, Issue 1, pages 66–70, January/February 2008
How to Cite
PIEKARSKI, J.H., JERECZEK-FOSSA, B.A., NEJC, D., PLUTA, P., SZYMCZAK, W., SEK, P., BILSKI, A., GOTTWALD, L. and JEZIORSKI, A. (2008), Does fecal diversion offer any chance for spontaneous closure of the radiation-induced rectovaginal fistula?. International Journal of Gynecological Cancer, 18: 66–70. doi: 10.1111/j.1525-1438.2007.00954.x
- Issue published online: 14 DEC 2007
- Article first published online: 26 APR 2007
- Accepted for publication January 8, 2007
- rectovaginal fistula;
Analysis of the clinical course of patients with postirradiation rectovaginal fistula after fecal diversion. The studied group included 17 women with postirradiation rectovaginal fistula who underwent fecal diversion as a sole mode of treatment, between January 1987 and December 2002, in our department. All patients were subjected to radiotherapy due to cancer of the uterine cervix, administered 5–107 months before the fistula appearance (mean, 22.9 months). In 3 of 17 patients (18%), spontaneous closure of fistula was observed after 5, 6, and 9 months, respectively, from fecal diversion. Closure was confirmed by endoscopy. Length of follow-up after fecal diversion ranged from 0.5 to 122 months. The actuarial probability of spontaneous closure of postradiotherapy rectovaginal fistula was 0.24 at 9 months of follow-up and then remained stable thereafter. In conclusion, colostomy alone gives hardly a chance for closure of the postradiotherapy rectovaginal fistula. Additional surgical measures are necessary.