Im 38 yrs old and a mother of 3.  I had similar case of RVF with my first child, where i had 4th degree laceration.  I had the fistual repaired twice with no success.  Today its been 1 year since i had my third repair and i am glad i am healed completely.  I went all the way from canada to Ethiopia to the fistula clinic and there my problem was answered.  I wished i had gone there in 12 years ago and i wouldnt have suffered all these years.  For those who are suffering dont get discouraged, there is help.  Someone with rectal vaginal fistula are going through alot of health/emotional problems.  I have lived with this problems and i hear you all women who are going through this.  But dont give up!