Fistula in Ano: Understanding the Condition

Fistula in Ano: Understanding the Condition

A fistula in ano is an abnormal connection between the epithelialized surface of the anal canal and the perianal skin. It often results from an anorectal abscess.

Symptoms

  • Recurrent anal abscesses
  • Pain and swelling around the anus
  • Discharge of pus or blood
  • Irritation or itching around the anus

Diagnosis

  • Physical examination
  • Fistulography or MRI
  • Endoanal ultrasound

Treatment - Laser Treatment

  • Fistulotomy
  • Seton placement
  • Advancement flap procedures
  • Fibrin glue or collagen plug

Risk Factors

  • Crohn's disease
  • Previous anorectal abscess
  • Radiation therapy
  • Tuberculosis

Importance of Timely Treatment

Prompt treatment prevents complications like sepsis or systemic infection.