Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment

Lay Summary A colorectal-vaginal fistula (CRVF) can occur as a complication of rectal cancer surgery. They can cause discomfort, repeated infection, need for treatment/further surgery, and a permanent stoma (an opening in the abdomen to collect bowel contents). This study looked at how often CRVF happened after surgery complicated by a leak where bowels ends have been joined together, how they were treated, and how likely patients were to live without a stoma 1 year after surgery. Researchers collected data on women from around the world who had rectal cancer surgery between 2014 and 2018 and developed a bowel leak (called anastomotic leakage). They compared those with and without a CRVF. A total of 88 out of 694 patients (12.7%) developed a CRVF. These patients more often had major surgery involving removal of nearby organs, including part of the vagina. They were more likely to have ongoing problems and needed more surgeries to manage them. Most had a temporary stoma, but only 29.5% could live without it after 1 year, compared with 48.7% of women without CRVF. CRVF is a serious complication that makes recovery harder. These patients are less likely to live without a stoma and usually need more surgery. However, if the leak is small, the chances of recovery without a permanent stoma are better.

Authors

Institutions

Publication Details

Journal
British journal of surgery
Published
2025-08-22
DOI
https://doi.org/10.1093/bjs/znaf189
Primary Topic
Ureteral procedures and complications
Type
article
Field-Weighted Citation Impact
0.00

Funders

Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment

Nicola Colucci, John R.T. Monson, Colin Sietses, Nirbhaibir Singh et al.
British journal of surgery
Ureteral procedures and complications
article

Colorectal-vaginal fistula after rectal cancer resection: international comparative cohort study of characteristics and treatment

Nicola Colucci, John R.T. Monson, Colin Sietses, Nirbhaibir Singh, Ingrida Pikūnienė, Elifcan Haberal, Markus von Flüe, Maria Ripoli, Sezai Leventoğlu, Murat Çakır, Rob Bethune, Maurizio Degiuli, Charlotte M. Heidsma, Ahmet Burak Çiftçi, George Tzovaras, Francesco Marchegiani, F. Borja de Lacy, Gennaro Perrone, Eleftherios Gialamas, Tatiana Garmanova, Mária Macháčková, Antonio La Terra, Jorge García Egea, Mit Dattani, Maarten Vermaas, Tajda Košir Božič, Issam Al‐Najami, Kusay Ayoub, Boyko Atanasov, Daniela Rega, Alaa Hamdan, Constança Azevedo, Raffaele Galleano, F Ashoush, Alexander Rabadi, Nagendra N. Dudi‐Venkata, Gehan Khedr, Mihai Vasile, Michele Ballabio, Daphne Roos, Gianluca M. Sampietro, Luis Flórez, Felix Aigner, Gabriel Fridolin Hess, M Škrovina, Miquel Kraft, Ted G van Schaik, Gijsbert D. Musters, Claudio Coco, Sabrina Florea, Mihail Slavchev, Kaori Futaba, Sarit Badiani, María José Gómez-Jurado, Amine Benkabbou, Lelde Lauka, Jüri Teras, Emanuele Picone, Jérémie H. Lefèvre, Germán Mínguez-Ruiz, P. R. McCullough, Lene Hjerrild Iversen, Bas Lamme, Jordi Farguell, Laura Lorenzon, Rama Zazo, Mario Salomón, Mohammed Anass Majbar, Marije Zwakman, José Andrés Cifuentes-Ródenas, Alberto Biondi, Ana-Maria Mușină, Nick Ward, Ritch Geitenbeek, Allard G Wijma, Alexander A.J. Grüter, Sameer Bhat, Safia K. Ahmed, A Yanishev, Andrea Lucchi, Hidde M. Kroon, Yves Panís, Hernán Ruiz, Tayfun Bişgin, M Sokolov, Aris Plastiras, L Massey, Nicholas Bradley, Marc‐Olivier Sauvain, Manuel Gielis, Aleš Tomažič, Erdinç Kamer, Salvatore Pucciarelli, Parisa Golshani, Alba Correa Bonito, Jacobus W. A. Burger, Claire Warden, Francois Runau, Tarik Sammour, Matteo Sacchi, Rodrigo Oliva Perez, Lotten Darlin, Emiel G. G. Verdaasdonk, Lina Jakubauskiene, Annalisa Maroli, Tabish Chawla, Caterina Allmer, Nicola Zanini, Jurij Aleš Košir, Konstantinos Tsimogiannis, Rokayah Julaihi, Kayla Woods, Shashank Gurjar, Jessica Ryan, Simone Novello, James Kynaston, Michael Pak-Kai Wong, Elena Nieto-Moreno, Entisar Alshareea, Aymn T. Abbas, Martin P. Karamanliev, Javier García Septiem, Jan‐Willem T. Dekker, Izaskun del Hoyo Aretxabala, J. Semião, Javier T Morales Bernaldo de Quirós, Igor Aleksandrovich Suchkov, Sónia Martins, Joost Nonner, Álvaro Soler-Silva, Daniele Cerbo, Damir Šimleša, Jan Grosek, Alessia Aversano, Jianliang Liu, Gaetano Gallo, Diederik P.J. Smeeing, Marinke Westerterp, Berber van den Hengel, Francisco Javier García Borda, Cristiano Parise, Alessandro Iacomino, Giampaolo Ugolini, Michail Vailas, Francisco Blanco‐Antona, Kevin Talboom, Mehmet Ali Koç, Mahmoud W M Qandeel, Marta Tanzanu, Ali Hashim Abbood, Evert-Jan Gijsbert Boerma, Antonio Pesce, Nerea Borda-Arrizabalaga, Donato F. Altomare, Stijn H. J. Ketelaers, Fabio Carbone, Ana Quiroga‐Valcárcel, Tim Forgan, Kiedo Wienholts, Aya Zazo, Juan Luís Blas, Roel Hompes, Gunnar Baatrup, Dursun Buğra, Aurélie Vuagniaux, Fatih Polat, Juan C Sainz-Hernández, Gianluca Pellino, Antonino Spinelli, Giuseppe Sica, Mohamed Hussein, Lucrezia D’Alimonte, Gabriele Bislenghi, Baraa Nabil Hajjaj, Bruna Borba Vailati, Floris Ferenschild, İlker Özgür, Ndidi J. Obihara, Paulina Moctezuma‐Velázquez, Esther C. J. Consten, Mohammad Bani Hani, Fahed Gareb, Engin Aybar, Sarah L. George, Andreas J. A. Bremers, Rita Marques Ferreira, Luis Q. Faria, Ugo Grossi, Hytham K. S. Hamid, Gerjon Hannink, Heather Pringle, Antonio Rodríguez-Infante, Charlène J. van der Zijden, Tayfun Kaya, Carlos Cerdán Santacruz, Stephanie Taha‐Mehlitz, Svilen Maslyankov, Thijs A. Burghgraef, Salomone Di Saverio, Marco Longhi, Frank C. den Boer, Aida Suárez Sánchez, Tara M. Connelly, Fatima Al-Eryani, Joël Shapiro, Andrea Muratore, Jennifer Park, Marius Kryžauskas, Maria-Ioanna Antonopoulou, Konstantinos Perivoliotis, Goran Šantak, Hannia Cholewa, Bogdan Stoica, Jonas Nygren, L Martínek, Matteo Rottoli, Osama Tababa, Tijs J. Hoogteijling, Vera Heesink, Emre Balık, E. J. Coetzee, Bengi Balcı, Christophe R. Berney, Andee Dzulkarnaen Zakaria, Aurelia C L Wildeboer, Nicola Passuello, Roberto Pezzuto, José Montero, Maytham Al-Juaifari, Mateo Santillán, Raj Kapadia, Gianluca Garulli, Vittoria Bellato, Noel Salgado‐Nesme, Staffan Jangmalm, Laura Vittori, Antonio M. Lacy, Abudi Mohamed, Paola Meroni, Helena Devesa, Marie‐Louise Lydrup, Carlo V. Feo, Abdulqudus Deeknah, Vygintas Šlenfuktas, Goran Zukanović, Naser Mugla, Daniela Jou-Valencia, Pierfrancesco Lapolla, Houcine Maghrebi, E Filipov, Segundo Ángel Gómez‐Abril, Fevzi Cengız, Annette D van Dalsen, Akshay Bavikatte, G Fowler, Algimantas Tamelis, Bassam Hasan, Martin Mitteregger, Omar Ghazouani, Luca Nespoli, Muriël Reudink, Aránzazu Calero-Lillo, Deepak Singh‐Ranger, Tom M. Karsten, Emre Sivriköz, Paul Hollington, Teresa Rubio Sánchez, Muhammed Elhadi, Metin Keskin, Jacob Damgaard Eriksen, Enrico Opocher, Francisco E. Álvarez-Bautista, Alexander Pennings, Luca D’Agostino, I. Bodega Quiroga, Augusto Carrie, ‏Ammar ‏Niazi, Paul H. McCormick, V Miu, Maria Antonietta Di Cosmo, Isacco Montroni, Andrey A Melnikov, Semra Demirli Atıcı, Marit Tiefenthal, Cátia Ferreira, Willem J. Koemans, Pascal G. Doornebosch, Nikolay Belev, Andrea Porta, Frans van Workum, Albert Wolthuis, Tanmoy Mukherjee, Omar Vergara‐Fernández, Man Fung Ho, Simon S.M. Ng, Saleh Abujamra, Alexandros Charalabopoulos, Johanne G. Bloemen, Nicolò Maria Mariani, Julia‐Kristin Graß, Carlo Alberto Manzo, Federico Clerici, Amine Sebai, Antonio Arroyo, Stefano Scabini, Laura Osborne, Roxane M Stienstra, Usama Waqar, Kaveh Dehlaghi Jadid, Lysandros Karydakis, A Bazaev, Rossella Reddavid, Belén Matías‐García, Eduardo Ferrero Herrero, Alfredo Escartín, Ramazan Kozan, Quentin Denost, Yiu Ming Ho, Sebastiaan W. Polle, Salvador Muñoz-Collado, Alfredo Alonso, Jeroen W. A. Leijtens, Sander Ubels, Charlotte S. van Kessel, Steven J. Oosterling, Naya Talal Hassan, Laura A Mattioni, Deniz Uluk, Gerardo Pire-Abaitua, María Labalde Martínez, Sónia M Ribeiro Marques, Evangelos Xynos, Raouf Mohsine, Michele Carvello, Ayberk Dursun, Miranda Kusters, Joakim Folkesson, Giovanni Tomasicchio, Louis Vansteenbrugge, Ian Bissett, Özgül Düzgün, Daniel Ashmore, Eman Ali Abdulwahed, Dimitrios Balalis, Gian Marco Palini, Manuel Ángel López-Lara, Lucia Puca, Ahmed Samir Abdelaal, Jeroen Hol, Alfredo Annicchiarico, Osman Yüksel, Hanife Şeyda Ülgür, Francesco Pasini, Edmund Leung, Belinda De Simone, Justas Žilinskas, Athanasios Syllaios, Brechtje A. Grotenhuis, Daniel Serralta, Daniele Sambucci, Michael Lamparelli, Patricia Tejedor, Nathalie E J van den Broek, Michael J. Solomon, Gaya Spolverato, Óscar García Villar, Ahmed Msherghi, Hilde Gregussen, Gianluca Buzzi, Ahmet Demirkıran, Carlo Corbellini, Gerrit D. Slooter, Dmitriy N Kostromitskiy, Valeriu Şurlin, Wouter J. Vles, Adam Boutall, Dimitrios K. Manatakis, Tomas Poskus, Enrique Colás‐Ruiz, İbrahim Atak, Maxime Dewulf, Klaas Havenga, S Rodimov, Thomas Gürtler, Nicole D. Bouvy, Hüseyin Göbüt, Miguel‐Teodoro Hernández, Sofia Xenaki, Vasil Pavlov, B Diéguez, P Gribnev, Nicolò Fabbri, Anne M. Dinaux, Juan Beltrán de Heredia, Hala Fares, Elif Çolak, Pallavi Rani, Kemal Erdinç, Francesco Roscio, Ioannis Karavokyros, Lütfi Doğan, Nicola de’Angelis, Johannes Schultz, Amine Souadka, Christian Toso, Leandro Siragusa, Giovanni De Manzoni, Femke J. Amelung, Marta Castro-Suárez, Bourhan Alrayes, Pieter Pletinckx, Maria Venianaki, Iván Carmelo Soto-Darias, Victor Ștefanescu, Frédéric Ris, Oliver Siaw, Iria Losada Docampo, Barbara Defoort, Andreas Marinelli, Ionuţ Negoi, Matas Jakubauskas, Michael E. Kelly, Dimitriοs Schizas, Fernando Mendoza‐Moreno, Francisco López-Rodríguez-Arias, Cristina de la Cruz Cuadrado, Marta Fazzin, Henrik Jutesten, Per-Anders Larsson, Luca Dittrich, Peter Matthiessen, Grigorios Christodoulidis, Arcangelo Picciariello, Ahmet Sarı, Filip Sköldberg, Bayar Baban, Jeroen Heemskerk, Nathalie Panel, Yolanda Saralegui Ansorena, Osman Sıbıç, Amitabh Mishra, E. S. Drozdov, Thibault Voron, Jobbe Lemmens, Youssef El-Massoudi, Fabian A. Holman, Valentina Madalina Negoita, Roland Chautems, Daniel Pérez, Yann R. Parc, Gabriel‐Mihail Dimofte, Nicolás A. Rotholtz, Pieter J. Tanis, Giorgiana M Graure, Tadas Latkauskas, José M. Enríquez–Navascués, Carlo Alberto De Pasqual, Nihan Acar, Cezar Ciubotaru, Pietro Bisagni, Giuliano Lantone, Emanuela Fioravanti, Manuel Losada, Nicolás Avellaneda, Roland M. Teras, Giovanni Pirozzolo, Olle Sjöström, Bülent Çalık, Cihangir Akyol, İbrahim Halil Özata, Moataz Ewedah, Matías Parodi, Ayesiga Herman, P. Vanclooster, Alf-Dorian Binder, Matteo Frasson, Tsuyoshi Konishi, Rolf Riis, Pamela Buchwald, Giulio Aniello Santoro, H.J.T. Rutten, Francesca Teodora Armao, Asma Afzal, Pieter van Gerven, Roberto Persiani, Thomas Bjørsum‐Meyer, Alessandra Belvedere, Martin Rutegård, Antonio Navarro‐Sánchez, Giovanni Sinibaldi, Massimo Oldani, Eslam M Elshennawy, Eloy Espín, Domenico Soriero, Fausto Catena, Nicolas C. Buchs, Soran Gadan, Safak Guel‐Klein, María Fernández-Hevia, Ömer Yalkın, Alfonso Recordare, Gerald Seitinger, Brian Mehigan, Jorge Sancho Muriel, Marcello Calabrò, Bruno Cirillo, Matthew Morgan, Daniel Fernández‐Martínez, Luis Sánchez‐Guillén, Maria Gaard, Giacomo Crescentini, Sanjay Chaudhri, Johannes H.W. de Wilt, Efstratia Baili, Josefin Segelman, Ömer Faruk Özkan, Ibrahim Ethem Gecim, Johann Pratschke, Daniel Rydbeck, Gilda De Paola, Ricardo González, Sorinel Luncă, Lindsey C. F. de Nes, Francisca Lima Pinto, George Ramsay, Eddy Cotte, Jesús Gómez Zábala, Jana Dziaková, Haitham Darwich, J Sarveswaran, Federico Ghignone, Andrea Vázquez‐Martínez, Sophie B M Taverne, Yasi̇n Kara, Vladimír Benčurik, Tsvetomir Ivanov, Paolo Delrio, F Farnesi, Takahiro Amano, Andrea Mingoli, M. Collard, Elisa I Bottazzoli, Boudewijn R. Toorenvliet, Kajsa Anderin, Diana Alejandra Pantoja Pachajoa, Paula Gonzálvez, Martino Zucchella, Charles de Gheldere, Gioia Brachini, A Abelevich, Manuel Díez‐Alonso, Chiara Vignotto, Ahmed Kamel Ali, Nicolas Flamey, Pencho Tonchev, Davy M J Creemers, Maria Staffan, Reem Ghmagh, Carlos Sáez-Cazallas Rodríguez, Lorenzo G W L Hulshof, Eithar Alkady, Marta M Tasende-Presedo, Ignacio Fernández-Hurtado, Javier Alanez-Saavedra, Guillermo Carreño-Villarreal, Alejandro Barbero-Valenzuela, Pablo Ruíz-García, Claire-Angéline Goutard, Stefanie de Vriendt, Thalia Petropolou, Nikolaos Tasis Christos Agalianos, Aliki Rompou, Hayder Hammoodi, Jurriaan B Tuynmann, Amani Altrabulsi, Sabrillah Echiguer, Ernst J Steller Arend G J Aalbers, Lieke Scheurink, Quirine Niemer, Koen C M J Peeters Renu R Bahadoer, Noortje Vosbeek, Tone Frivold, Sondre Busund, Nina Krohn, Amanda L. Ersryd, Ahmed Jehad Alhisi, Aldo M Rodrigues Jarimba, Florin Macau, Galliamov Eduard, Mohammad Tantoura, Mehmet Veysi Samsa, Deniz Piyadeoğlu, Dara O avanagh, Erşan Günenç, Anas Alhardan, Rudaina Albakry, António Oliveira, Hytham Sultan, Angela Romano, Anis Haddad, Ricardo Pereira, Diego Estefanía, Franceso Pasini, Razif Ismail, Ahmed A E Khader, Ana Filipa Dias Mendes, Alessandra Aprile, Shafaque Shaikh, Mehmet Türker Bulut, A Chaoui, Giuseppe Sammarco, Gianluca Rizzo, Mohamed Shaban, Laura Agostinelli, Santosh Bhandari, Simone Mueller, José M Muguerza Huguet, Carlos Martínez-Pinedo, Mario Giuffrida, Aini F Ibrahim, Paul T J Janssen, Sonja Verstappen, Bastiaan Wiering, Mikhail N Agapov, Victor Filimonov, Karl Nilsson, Garazi Elorza Echaniz, Nicolò Tamini, Panche Krastev, Nynke G. Greijdanus, Baljit Singh, Alice Frontali, Andrea Pisani Ceretti, J. Morales López, Giacomo Zanus, Selman Sökmen, Paul Pattyn, Dimitrios Korkolis, Boby Sebastian, M. Zeki Güzel, Cristian-Ene Roată, Jurica Ćosić, L. Lorusso, Soha Y Hassan, Ashfaq Chandio, I Tănase, O. Sjö, Peter Neary, Nagm Eldin Abu Elnga Ahmed, María T Torres, Antonella larcinese, Rawaz Kader, Nigel da Silva, Saulius Mikalauskas, Bob H. M. Heijnen, M. S. El Muhtaseb, Nathaniel Melling, Elena Bermejo Marcos, Ahmad Saad, I Baloyiannis, Hamid Lutfi, Eelco J. R. de Graaf, Panchali Sarmah, André D’Hoore, Christiaan Hoff, Mercedes Estaire-Gómez, Rocío Ferrer, Tania Gómez, Hendrik L van Westreenen, Stefan Patrascu Sandu D Ramboiu, Peter Riedl, Silvio Daester, Marc-Olivier Guenin, Fahed Al Karmi, Ali Mansour, Hajime Fujiwara, Marjolein M Leeuwenburgh, Jasper B. van Praagh, Rita E Medina Quintana, María J Pizarro Aranda, Vladimir-Ion Nichita, Adreas Polydorou, Paula González Atienza, Tony Wing-chung Mak, Basel Abdeen, Sanne J A Hazen, A K Talsma, Beatriz de Andrés, Oguzhan Aydın, Anton V. Lambrechts, N.A. Nik Abdullah, Montasser Kacem, Emmanuel Chrysos, Cristina López Fernández, Greg O’Grady, I Mia, Irene de Groot-van Veen, Juan Carlos Bernal-Sprekelsen, Juan E Sánchez Lara, Jael de Haan, Daniil G Markaryan, Gavin Nair, Fatma A. Monib, Sjirk van der Burg, Mila L van Lieshout
article en

Abstract

Lay Summary A colorectal-vaginal fistula (CRVF) can occur as a complication of rectal cancer surgery. They can cause discomfort, repeated infection, need for treatment/further surgery, and a permanent stoma (an opening in the abdomen to collect bowel contents). This study looked at how often CRVF happened after surgery complicated by a leak where bowels ends have been joined together, how they were treated, and how likely patients were to live without a stoma 1 year after surgery. Researchers collected data on women from around the world who had rectal cancer surgery between 2014 and 2018 and developed a bowel leak (called anastomotic leakage). They compared those with and without a CRVF. A total of 88 out of 694 patients (12.7%) developed a CRVF. These patients more often had major surgery involving removal of nearby organs, including part of the vagina. They were more likely to have ongoing problems and needed more surgeries to manage them. Most had a temporary stoma, but only 29.5% could live without it after 1 year, compared with 48.7% of women without CRVF. CRVF is a serious complication that makes recovery harder. These patients are less likely to live without a stoma and usually need more surgery. However, if the leak is small, the chances of recovery without a permanent stoma are better.

British journal of surgeryVol. 112(11)
The University of Sydney (AU), The University of Texas MD Anderson Cancer Center (US), Radboud University Nijmegen (NL), Dutch Cancer Society (NL), Universitair Ziekenhuis Leuven (BE), Radboud University Medical Center (NL), Hospital Universitari i Politècnic La Fe (ES), Sorbonne Université (FR), Cooperative Trials Group for Neuro-Oncology (AU), Assistance Publique – Hôpitaux de Paris (FR), Hospital Alemão Oswaldo Cruz (BR), Hôpital Saint-Antoine (FR), Radboud Institute for Molecular Life Sciences (NL), Canisius-Wilhelmina Ziekenhuis (NL), Hospital Clínic de Barcelona (ES), Centre de Recherche Saint-Antoine (FR), Hospital Alemán (AR), Clinique Hartmann (FR), Clinique Ambroise Paré (FR), Institut Polytechnique de Bordeaux (FR), Universitat de Barcelona (ES), University of Amsterdam (NL), Umeå University (SE), Erasmus University Rotterdam (NL), KU Leuven (BE)
Aarhus Universitet, Aarhus Universitetshospital, Odense Universitetshospital, Royal Adelaide Hospital, Humboldt-Universität zu Berlin, Hôpitaux Universitaires de Genève, Freie Universität Berlin, Assiut University, Faculté de Médecine, Université de Genève
Openalex Percentile: Top 55%
Ureteral procedures and complications
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.