Recurrent posterior anal fistula

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  this narrated, edited video shows the authors technique for the treatment of recurrent anal fistula with a fistula plug. This video is associated with a text under submission for publication in. Management of recurrent rectourethral fistula by york mason posterior transrectal transsphincteric approach fahri yetiir , 1 , a. Surgical management of deep postanal abscess and horseshoe fistula of cryptoglandular origin a review. Deep post anal space abscesses and horse shoe fistulae have represented a challenging problem to both patient and surgeon over the years. Rectourethral fistula (ruf) may develop after ureterovesical and rectal intervention or radiation therapy (rt) rarely, but it is associated with significant morbidity and mortality. The patient will typically present with pneumaturia, faecaluria, and urinary drainage from the rectum. Diagnosis can be easily done with digital rectal examination, cystography, and urethrocystoscopy. A total of 176 consecutive japanese patients with deep posterior anal fistulas who underwent definitive anal fistula surgery at rakuwakai otowa hospital between january 2009 and december 2015 were included in this study. All anal fistulas addressed in this study were due to cryptoglandular infections. Surgery for an anal fistula is usually carried out under general anaesthetic. In many cases, its not necessary to stay in hospital overnight afterwards. The aim of surgery is to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control (bowel incontinence). An anal fistula is an abnormal connection between the anal canal and the perianal skin most fistulae can be investigated via proctoscopy, to visualise the opening of the tract within the anal canal any patient with an anal fistula or recurrent peri-anal abscesses should be investigated for possible crohns disease.   posterior horseshoe fistula with deep postanal space abscess is a complex disease. Most patients have a history of anorectal abscess drainage or surgery for fistula-in-ano.   a patient with an anal fistula may complain of recurrent malodorous perianal drainage, pruritus, recurrent abscesses, fever, or perianal pain due to an occluded tract. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses.

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