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7624
§ 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.

Rectovaginal fistula

An abnormal opening between the rectum and vagina that may cause leakage of stool or gas.

What the rating means

VA rates a rectovaginal fistula under diagnostic code 7624, which is listed in the schedule as "Fistula, rectovaginal." The rating is based entirely on how often fecal material leaks through the fistula into the vagina and whether that leakage requires you to wear a pad.

If you have no leakage at all, the rating is 0%. Leakage that happens less than once a week rates 10%. Leakage one to three times per week, requiring a pad, rates 30%. Leakage four or more times per week but less than daily, requiring a pad, rates 60%. Daily vaginal fecal leakage requiring a pad rates 100%.

VA may also consider whether your condition qualifies you for special monthly compensation under 38 CFR § 3.350, which covers loss or loss of use of certain organs. If that applies to your situation, VA is required to review that possibility.

Evidence that helps

The evidence that matters most is a clear record of how often vaginal fecal leakage occurs and whether you must wear a pad because of it. Medical records from a gastroenterologist, colorectal surgeon, or gynecologist that document the frequency of leakage are directly relevant. Notes from primary care visits, specialist evaluations, or a VA Compensation and Pension exam that state how many times per week or day leakage occurs will help establish which rating level applies.

Your own written statement, or a statement from someone who lives with you, describing the day-to-day reality of leakage frequency and pad use can also support the medical record. Prescription or purchase records for pads or absorbent products may help confirm that wearing a pad is required. If symptoms have changed over time, records showing that pattern are useful because the frequency of leakage is what separates each rating level from the next.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.