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Restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis (IPAA) is a safe, accepted surgical treatment for mucosal ulcerative colitis (MUC) and familial adenomatous polyposis (FAP). Pouch vaginal fistula (PVF) formation, first described in 1985 by Wong [1], is an uncommon and difficult to address complication of IPAA. The incidence of PVF has been reported to be between 3.3–16% [2–7]. Contributing factors to the development of PVF include underlying Crohn’s disease, pelvic sepsis as well as surgical technique [4–10]. PVFs often require multiple operations, with 20% of patients ultimately requiring pouch excision [7, 11]. This number is much higher in patients with Crohn’s disease [4–8]. |
