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What causes a fistula? After an abscess has been drained, a passage may remain between the anal gland and the skin, resulting in a fistula. If the gland does not heal, there will be persistent drainage through this passage. If the outside opening of the fistula heals first, a recurrent abscess may develop.
A rectovaginal fistula may result from: 1  Injury during childbirth. 2  Crohn's disease or other inflammatory bowel disease. 3  Radiation treatment or cancer in the pelvic area.  Complication following surgery in the pelvic area.