Vaginography: the investigation of choice for vaginal fistulae?

Adequate demonstration of the pathology and site of vaginal fistulae is preferable before surgical intervention is planned. Vaginal fistulae have traditionally been investigated by upper and lower gastrointestinal contrast radiology, often with a failure to demonstrate the fistula. The authors' recent experience confirms that vaginography is a simple and accurate method of assessing many types of vaginal fistulae.