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. 2026 May 12;30(1):62. doi: 10.1007/s10151-026-03325-5

Table 3.

Included studies focused solely on ano/rectovaginal fistulas after the PICO search

Title Authors, year Study design Years Patients Flap type Assessment Follow-up Follow-up time Success rate Failure rate Other result
“What are the outcomes in patients referred to a tertiary referral center for Crohn’s rectovaginal fistula surgery?” Sapci et al. [18] Retrospective 2010–2020 20 pts with CD; AF on 7 pts with CD (RVF) Semicircular AF EUA with sigmoidoscopy Clinical healing (no symptoms > 6 months and/or stoma closure) Median 33 months (6–130 months) 85% (6/7) Not specified
“Surgical intervention is effective for the treatment of Crohn’s-related rectovaginal fistulas: experience from a tertiary inflammatory bowel disease practice” Otero-Pinero et al. [14] Retrospective 1995–2021 166 patients with CD; AF on 86 pts with CD (RVF) RAF or TVAF Not specified Not specified Median 6 years (1–10 years) RAF 32% (22/68), TVAF 40% (6/15) RAF 68% (46/68), TVAF 60% (9/15) Overall success rate 72% (119/166) with multiple surgical interventions

CD, Crohn’s disease; AF, advancement flap; RVF, rectovaginal fistula; RAF, rectal advancement flap; TVAF, transvaginal advancement flap; EUA, examination under anesthesia; pts, patients