Vaginoplasty issues

Patient's question:

Hello, could you please ask if the recurrence in patients who have undergone a vesiculovaginal fistula repair is due to the stoma closing prematurely? How common is this situation? I understand that there are many types of fistula repairs available now. Which type of fistula is less likely to close prematurely? Thank you!

Doctor's answer:

Hello. Anal fistula recurrence does occur, but it is not common. Additionally, there is only one type of anal fistula surgery. What you mentioned might refer to the removal of Bartholin's gland cysts, which is rarely performed now. This method damages the normal structure of the gland, leading to loss of function. In contrast, anal fistula surgery only involves making an incision at the cyst site to drain its contents, leaving the incision open. After a period of recovery, the incision shrinks and heals, preserving the gland's function.

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