Treatment

Immediate management
Once the diagnosis is reached a continuous catheterization for 6-8weeks is maintained for a spontaneous closure of the fistula for as unobstructed outflow tract helps epithelialization provided the tissue damage is minimum.

Psychotherapy

Surgical repair
Vaginal approach is a commonly used technique although Abdominal approach is the best option for any complex and recurrent fistula.
Timing for surgery
Immediate repair can be done in the first 48 hours if the tissue is healthy.
If diagnosis is made beyond 48 hours and the tissue around is evident to be unhealthy, 2 to 3 months’ time is needed for inflammation to subside and granulation tissue to form.