Anorectal Abscess and Fistula

Fecal Incontinence Severity Index After Fistulotomy

“…However, the incidence of incontinence reported to occur after fistulotomy varies from 0 to 45 percent, which makes it difficult to accurately inform patients about the functional outcome of the procedure. 3 Many patients would be hesitant to undergo fistulotomy if the likely result was fecal incontinence. Furthermore, surgeons may be more inclined to use alternative procedures such as fibrin glue injection or endoanal advancement flap repair if incontinence is a likely outcome of fistulotomy.…”

Natural history of anorectal sepsis

“…Treating fistulas in the acute phase reduced the recurrence rate (from 29 to 5 per cent), demonstrating that not all patients who had abscesses with an internal opening subsequently presented with a fistula. Read and Abcarian similarly found that 40 per cent of abscesses progressed to fistula formation, but other studies reported rates ranging from 26 to 87 per cent. This was even the case in studies in which abscesses in all patients had an internal opening (acute fistula).…”

The evaluation of bacteriology in perianal abscesses of 81 adult patients

“…The peak incidence of PA is in the third or fourth decade of life and it is two or three times more common in men than women. 1 The reason for this increased incidence of perianal suppuration in men is uncertain; however, it may be related to increased local androgen conversion in anal glands. 2 This infection may be life threatening in patients who are immunocompromised or who have an underlying malignancy.…”

“…Untreated or inadequately treated local infl ammation may damage the anal sphincters. 1 On the other hand, drainage of abscess cavity obtains good bacteriological specimens for culture.…”