Etiologi
1. Trauma obstetri karena partus lama, tindakan penjahitan ruptur
perinei total yang tidak baik
2. Radiasi
3. Tumor ganas
4. Kelainan bawaan
7. Kriteria Diagnosis Anamnesis dan pemeriksaan fisik. Jika fistula sangat kecil maka
dapat dilakukan pemeriksaan penunjang
8. Diagnosis Banding -
9. Konsultasi 1. Divisi Uroginekologi dan Rekonstruksi
2. SMF Radiologi
10. Perawatan Rumah Ruang perawatan Ginekologi (Cempaka Timur)
Sakit
31
11. Terapi / tindakan 1. Fistula yang baru pasca trauma obstetri dilakukan secara konservatif
dengan cara merawat luka fistula dengan baik
2. Fistula yang besar, dilakukan operasi setelah 3 bulan kemudian
3. Fistula pasca radiasi dilakukan operasi setelah 1 sampai 2 tahun
kemudian
4. Fistula karena bawaan, dapat dilakukan sesuai dengan keluhan
penderita
15. Tenaga Standar Dokter Spesialis Obstetri dan Ginekologi Konsultan Uroginekologi dan
Rekonstruksi
25. Kepustakaan 1. Junizaf. Fistula vesiko vagina. Buku Ajar Uroginekologi. Jakarta:
Subbagian Uroginekologi Rekonstruksi Bagian Obsetri &
Ginekologi FKUI/RSCM; 2002. 16-9.
2. Devesa JM, Devesa M, Velasco GR, et al. Benign rectovaginal
fistulas: Management and Results of a personal series. Tech
Coloproctol. 2007; 11:134-128.
3. Tsang CBS, Rothenberg DA. Rectovaginal Fistulas. Therapeutic
options. Surg Clin N Am 1997; 77 (1): 9-114.
4. Benson JT. Atlas of Clinical Gynecology: Urogynecology and
Reconstructive Pelvic Surgery. Vol 5. Philadelphia: Current
32
Medicine;2000
5. World Health Organization;Department of Making Pregnancy
Safer. Obsetric Fistula. Guiding Principles For Clinical
Management and Programme Development.2006.
6. Dolea Carmen, AbouZhar Carla. Global Burden Of Obstructed
Labour in The Year 2000. World Health Organization.
Geneva;2003.
7. Suskhan, B. I Santoso, et al. Penatalaksanaan Fistula Rektovaginal
di RSUPN Dr. Cipto Mangunkusumo Tahun 1985-1996. Indones
J.Obstet Gunecol;1996. 20 (4):249-253.
8. Schwartz, Spencer S, Galloway DF. Principles of Surgery. 7th ed.
United States of America: Mc Graw Hill; 1999. 1309-1306.
9. Corman ML. Rectovaginal and Rectouretheral fistulas. Colon &
Rectal Surgery. 5th ed. Philadelphia: Lipincott Williams & Wilkins;
2005. 333-345
10. Zinner MJ, Ashley SW. Enterovaginal Fistula. Mangiotss
Abdominal Operations. 11th ed. USA; Mc Graw Hill; 2007. 2408-
2391
11. Rothenberg DA, Goldberg SM. The Management of Rectovaginal
Fistulae. Surg Clin Am;1983;63(1):61-79
12. Venkatesh KS, Ramanujum PS, Larson DM, et al. Anorectal
Complications of Vaginal Delivery. Dissease Colon Rectum.
1989;32:1039-41
13. Rakinic Jan, MD. Rectovaginal Fistula. eMedicine Clinical
Reference. 2006
14. Keighley MR, Williams NS. Rectovaginal Fistula. Surgery of the
Anus, Rectum & Colon. 2nd ed. London: WB Saunders;2001. 1306-7
15. Bauer JJ, Gorfine SR, Kreel I, et al. Colorectal Surgery Illustrated
A Focussed Approach. USA; Mosby Year Book; 1993.
16. Ruiz D, Bashankaev B, Speranza J, Wexner SD. Graciloplasty for
Rectourethral, Rectovaginal and Rectovesical Fistulas: Technique
Overview, Pitfalls and Complications.Tech Coloproctol.
Springer;2008. 12:277-282.
17. Chitrathara K, Namratha D, Francis V, Ganggadharan VP.
Spontaneus Rectovaginal Fistula and Repair Using
Bulbocavernosus Muscle Flap. Tech Coloproctol;2001.5:47-49.
18. Pemberton JH. Fistula in Ano. In: Keighley MR, Fazid VW,
Pemberton JH. Atlas of Colorectal Surgery. New York: Churcill
Livingstone; 1995. 111-8.
19. Thompson JD. Relaxed Vaginal Outlet, Rectocele, Faecal
Incontinence and Rectovaginal Fistula. In: Thompson J, Rock JA,
eds. Telindes Operative Gynecology. Philadelphia: JB Lipincott
Co;1992. Pp 967-9
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