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Horseshoe fistula is one of the most. complex and potentially morbid. conditions faced in a modern anorectal. surgery. Hanley, 1965 reported his. original procedure for horseshoe fistula. which involved complete division of the. posterior 12 o'clock sphincter mechanism.
Definition. A rectovaginal fistula is an abnormal connection between the lower portion of your large intestine â your rectum â and your vagina. Contents of your bowel can leak through the fistula, meaning you might pass gas or stool through your vagina.