St Mark’s protocol for standardised examination under anaesthesia for rectovaginal fistulae - Summary - MDSpire

St Mark’s protocol for standardised examination under anaesthesia for rectovaginal fistulae

  • By

  • Okocha, M.

  • Rowe, A.

  • Elgendy, K.

  • Thomas, G.

  • Tozer, P.

  • Vaizey, C.

  • March 6, 2026

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Objective:

To document the St Mark’s protocol for examination under anaesthesia (EUA) in suspected rectovaginal fistulae.

Key Findings:
  • The five-stage protocol provides a structured approach to assess rectovaginal fistulae.
  • Intraoperative endoanal ultrasonography enhances anatomical definition.
  • The protocol is beneficial for patients with ambiguous imaging or persistent symptoms.
Interpretation:

The St Mark’s protocol enables comprehensive evaluation and documentation of rectovaginal fistulae, facilitating informed surgical decision-making.

Limitations:
  • Dependence on local expertise for intraoperative endoanal ultrasonography.
  • Potential variability in the availability of diagnostic modalities.
Conclusion:

This protocol offers a reproducible framework for diagnosing and managing rectovaginal fistulae, particularly in complex cases.

Original Source(s)

St Mark’s protocol for standardised examination under anaesthesia for rectovaginal fistulae

  • by Okocha, M., Rowe, A., Elgendy, K., Thomas, G., Tozer, P., Vaizey, C.

  • March 6, 2026

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