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The accuracy of endosonography in the diagnosis of anal fistulae is, according to various authors, from 25 to 100 and, unfortunately, is lowest in the case of anal fistulae of recurrent character (14). Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly classified into four categories 1) risk factors related to the fundamental anatomy of the. Hi, i had a fistulotomy around two years ago for an anal fistula. The surgery was successful and i thought i was cured completely as the infection was drained. An anal fistula (also commonly called fistula-in-ano) is frequently the result of a previous or current anal abscess. Fistulas are classified by their relationship to parts of the anal sphincter complex. An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poo leaves the body). Theyre usually the result of an infection near the anus causing a collection of pus in the nearby tissue. When the pus drains away, it can leave a small channel behind. Anal fistula what is an anal fistula? An anal fistula is a small tunnel that connects an abscess, an infected cavity in the anus, to an opening on the skin around the anus. The anus is the external opening through which feces are expelled from the body. An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. re recurring anal abscessesfistulas its not the fault of the surgeons, unfortunately they are persistent little buggers and keep coming back (the abscesses, not the surgeons!). I have had several over the last 16 years, related to crohns disease. Perianal fistula also commonly called fistula-in-ano, is an abnormal hollow tract or tunnel that is lined with granulation tissue that connects a primary opening inside the anal canal to a secondary opening in the perianal skin secondary tracts may be multiple and can extend from the same primary opening 1) and have significant negative impact on their quality of life 2).