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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.
Problem. A fistula is defined as a communication between 2 organ sites. Vesicovaginal fistula is a free communication between the urinary bladder and the vagina. The urine from the bladder freely flows into the vaginal vault, leading to total or continuous incontinence. Ureterovaginal fistula is a communication between the distal ureter and the vagina.