Guidelines

How are fistula in ano classified?

How are fistula in ano classified?

Four types were described: intersphincteric, transsphincteric, suprasphincteric, and extrasphincteric. [7] Appropriate classification is essential for adequate treatment and conservation of the external anal sphincter to preserve fecal continence.

What is the commonest type of fistula in ano?

In order of most common to least common, the various types include:

  • Intersphincteric fistula. The tract begins in the space between the internal and external sphincter muscles and opens very close to the anal opening.
  • Transphincteric fistula.
  • Suprasphincteric fistula.
  • Extrasphincteric fistula.

How many types of fistula are there?

Enteroenteral fistula: between two different parts of the small intestine. Enterocutaneous fistula: between the small intestine and the epidermis. Rectovaginal fistula: between the rectum and vagina. Urethrovaginal fistula: between the urethra and vagina.

What is fistula and its types?

Types of Fistulas: Anorectal Fistula occurs between the anal canal and the skin around the anal opening. Rectovaginal or Anovaginal Fistula occurs when a hole develops between the rectum or anus and the vagina. Colovaginal Fistula occurs between the colon and the vagina.

Why fistula in ano happens?

An anal fistula most often happens from an anal gland that has developed a pus-filled infection (abscess). A fistula can also happen with certain conditions such as Crohn’s disease. Or it may happen after radiation therapy for cancer. Injury to the anal canal and surgery can also cause anal fistulas.

Is fistula surgery successful?

Living with a fistula can have a big impact on a person’s quality of life. However, for most people, fistula surgery is successful, and recurrence rates are low. For example, the long-term success rate of a fistulotomy is 92–97%.

Which surgery is best for fistula?

A fistulotomy is the most effective treatment for many anal fistulas, although it’s usually only suitable for fistulas that do not pass through much of the sphincter muscles, as the risk of incontinence is lowest in these cases.

Is fistula surgery painful?

Following your fistulotomy, you may experience some mild to moderate pain or discomfort in your rectal area. You may also experience constipation, difficulty urinating, and possibly some rectal bleeding. The following are some general guidelines for proper care after your procedure.

Is fistula a major surgery?

Fistula surgery may be a minor procedure, but patience is definitely required for the recovery process. You might find that your wound drains for weeks after surgery, as it will be left open to aid healing.

What is best treatment for fistula?

What is the best treatment for fistula in ano?

Can I walk after fistula surgery?

It is important that patients are able to rest for several days following the surgical procedure. During this time, they should allow their bodies to recover, and avoid sitting or walking for too long.