Grade Description
0 Normal appearances
1 Simple linear intersphincteric fistula
2 Intersphincteric fistula with intersphincteric abscess or secondary fistulous track
3 Transsphincteric fistula
4 Transsphincteric fistula with abscess or secondary track within the ischioanal or ischiorectal fossa
5 Supralevator or translevator disease
Table 2: St James’s University Hospital MRI classification system [28].