Anovaginal or rectovaginal fistulas are a very cumbersome distressing complications of a traumatic vaginal delivery or injury during episiotomy and its repair.

they take away the joy of motherhood from the mother and above all give intense agny and distressing symptoms of passing stools through the vaginal tract. that retards healing of vaginal wounds

recently repaired two such cases.
a much satisfying surgery. if i can relieve such patients of this agony, i feel blessed.

i feel prevention is the key to such cases- we should take immense care to prevent an occurence of such an injury !!