Anal Fistula An anal fistula is commonly known as Fistula-in-ano as it is frequently the result of a previous or current anal abscess. An anal abscess is an infected cavity filled with pus found near the anus or rectum. The fistula is the tunnel that structures under the skin and interfaces the stopped up infected organs to a abscess. A fistula can be available with or without an abscess and may join just to the skin of the buttocks near the anal opening. Microscopic organisms, fecal material or foreign matter can obstruct a butt-centric organ and passage into the tissue around the anul or rectum, where it might then gather in a cavity called an abscess.
Anal Fistula is classified by two categories. 1) By their location in relation to the structures comprising and surrounding the anus and rectum. on this basis, it is subclassified as perianal, ischioanal, intersphincteric and supralevator area. 2) By their relationship to parts of the anal sphincter complex: They are subclassified as intersphincteric, transsphincteric, suprasphincteric and extrasphincteric. Anorectal pain, swelling, perianal cellulitis (redness of the skin) and fever are the most common symptoms of an abscess. Occasionally, rectal bleeding or urinary symptoms, such as trouble initiating a urinary stream or painful urination, may be present.
Presently, there is no medicinal treatment accessible for this issue and surgery is quite often important to cure an anal fistula. On the off chance that the fistula is direct (including negligible sphincter muscle), a fistulotomy may be performed. The surgery may be performed in the meantime as waste of a abscess, once in a while the fistula doesn't show up until weeks or years after the starting drainage. Fibrin glue injection is one such alternative, in which fibrin glue is infused into the fistula tract to decimate the tract with the expectation of getting to be joined in the encompassing tissue. An endoanal advancement flap is a strategy generally held for complex fistulas or for patients with an expanded potential danger for affliction incontinence from a conventional fistulotomy.
The prevalence of anal abscesses in the general population is probably much higher than seen in clinical practice since the majority of patients with symptoms referable to the anorectum do not seek medical attention. It is estimated that there are approximately 300,000 cases per year in the Isreal. The mean age for presentation of anal abscess and fistula disease is 40 years (range 20 to 60).Adult males are twice as likely to develop an abscess and/or fistula compared with women.