This problem is caused by an injury to this area. The injury may be caused by trauma or a health problem.
Problems may be:
- Pain in the pelvic area
- Pain during sex
- Passing stool (poop) or gas through the vagina
- Problems controlling stool
- Foul-smelling vaginal discharge
The doctor will ask about symptoms and health history. A physical exam will be done.
Pictures of the area may need to be taken. This can be done with:
- Anorectal ultrasound—a small wand is used to make a video of the rectum and anus
- Methylene enema—a tampon is placed in the vagina and dye is placed into the rectum to watch how fluid moves from the rectum to the vagina
- Contrast studies— barium enema may be used to view a fistula that cannot be seen during an exam
- Endoscopy—a thin, lighted tube is placed in the rectum to view the rectum and the lower colon
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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