Perianal fistula

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An anal fistula is a small channel that develops toward the end of the intestine and skin near the anus, known as the anal canal.

The anus is the opening by which waste is eliminated from the body. Some types of fistulas have a channel, while others branch out and have more openings.

Ends of fistulas can appear like holes on the skin around the anus. Anal fistula is painful and can cause bleeding during excretion. Some fistulas can be connected to the sphincter muscles.


1. Overview
2. Causes
3. Treatment of anal fistula


The main cause of anal fistulas, recto-vaginal fistula and other types of anal fistulas is the anal gland obstruction that will be infected and that will transform in an abscess that will not heal.

There are other possible causes of this condition, including surgery for repair and removal of hemorrhoids, infection with any pathogen, various cancers and malignancies, and inflammatory bowel disease.

Genetics may also play a role because some inflammatory bowel disease may have a genetic component, but in most cases, lifestyle and hygiene are very important.

If you have a perianal fistula, you must talk with your doctor to determine the specific cause of it and the proper treatment. In many cases, treatment is surgery, but it will not guarantee fistula recurrence and you might need another surgery in the future.

In fact, some operations can cause perianal fistula, especially if there have been several surgeries in the past. Many people try to avoid surgery by using natural treatments hoping to be able to eliminate permanent fistula.

In some cases, the cause of perianal fistulas is not known and other injuries may be partly responsible. Regardless of what caused the fistula, there are many treatment options available, even if they prefer natural or surgical methods.

It is important to be aware of symptoms of bowel obstruction, if you have a fistula, because sometimes this condition can cause complications that would endanger your life. Your doctor will prescribe antibiotics to treat perianal fistulas and to control any infection. In order to cure a local drainage and warm baths will be made.

Treatment of anal fistula

Most of the anal fistulas require surgery because the cases when they heal, if left untreated, are very rarely. There are several surgical methods, depending on where and how complicated is fistula.

The patient should be able to go home the day of surgery. However, if the fistula is difficult to treat, it may take several days of hospitalization. Among the complications that can occur after surgery for anal fistula treatment include:
- infection
- faecal incontinence
- recurrent fistula.

In the case of the some common types of surgery to treat fistula, anal fistula risk to return is about 21%. Risks vary depending on the type of procedure.




  1. hi there i have a very irritating itchy in my anus it feels if the itchy feeling go up and down in my anus.i use deworm medication and ointments for piles. and its difficult to sit .and its hurting on the side of my vagina aswell

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