Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What structure is associated with a recto fistula?

1. skin

2. vagina

3. bladder

4. rectum

The correct answer is: rectum

A rectovaginal fistula is an abnormal connection that occurs between the rectum and the vagina. In this case, however, the question focuses more broadly on what structure is directly involved in a recto fistula. The correct answer highlights the rectum because a recto fistula typically refers to a fistula that forms between the rectum and the skin or an adjacent structure. In the context of recto fistulas, the rectum serves as the primary site of involvement since it is the structure from which the fistula emanates. Rectovaginal fistulas, rectouterine fistulas, or others may also be discussed, but the base structural involvement remains within the rectum. Understanding this connection is vital for recognizing the underlying conditions associated with fistulas, which can be instrumental in diagnosis and treatment.