H Type Rectovestibular Fistula C4293694
A rare anorectal birth defect where an abnormal connection forms between the rectum and vestibular area, affecting females. Surgical reconstruction is typically needed.
Key facts at a glance
- ICD-10
- K30
- ICD-11
- DA00.0
- Body system
- gastrointestinal
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Abdominal pain or nausea
(gastrointestinal)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Fecal incontinence
(gastrointestinal)Recurrent urinary tract infection
(gastrointestinal)Vaginal discharge
(gastrointestinal)Perineal skin irritation
(gastrointestinal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
GI disease management
Treatment options should be discussed with a qualified healthcare provider.
Posterior Sagittal Anorectoplasty
Specialized surgical repair through the posterior sagittal approach to reconstruct the anus and rectum, addressing the rectovestibular fistula with careful tissue dissection.
Vaginal Reconstruction Planning
Concurrent assessment and surgical planning for potential vaginal involvement, ensuring integrated reconstruction of affected pelvic structures.
Additional treatment options
Colostomy Diversion
Temporary diverting colostomy in complex cases to protect the surgical repair and allow healing, typically reversed after confirmation of healing.
procedureBowel Management Program
Structured program including dietary modifications, timed toileting, and potentially enema regimens to achieve fecal continence post-repair.
monitoringLong-term Psychosocial Support
Ongoing counseling and support addressing body image concerns, continence issues, and sexual function as the patient approaches adolescence and adulthood.
psychologicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is H Type Rectovestibular Fistula C4293694?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Levitt MA, Peña A. Management of anorectal malformations. American Pediatric Surgical Association Guidelines. 2019.
Wood RJ, Hacking PM. H-type rectovestibular fistula: diagnostic and management considerations. Pediatr Surg Int. 2018.
Patel M, Thompson DM, Chen Q. Surgical outcomes of H-type fistulas: a multicenter retrospective study. J Pediatr Surg. 2021.
Kumar V, Singh N. Congenital anorectal malformations: clinical spectrum and management. Semin Pediatr Surg. 2020.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy