Presentation
Foreign bodies may remain unrecognized and present themselves years later with complications. [hindawi.com]
Whenever the physician finds an abscess, and especially a fistula, further tests are needed to be sure Crohn’s disease is not present. [gicare.com]
The aim of the present study was to assess prospectively the presentation, classification, management and outcome of a series of 247 consecutive patients presenting with fistula-in-ano at our institution in a 5-year period. [bmcgastroenterol.biomedcentral.com]
However, signs of fistula and abscess may not be present on the skin's surface around the anus. In this case, the physician uses an instrument called an anoscope to see inside the anal canal and lower rectum. [oregonclinic.com]
Workup
The diagnostic workup, surgical technique, and postoperative course of patients who underwent repair of H-TEF were reviewed. [behcetuzdergisi.com]
Treatment
Following the diagnosis of a fistula, the medical professional will decide the best plan of treatment based on its location, size, and condition. One treatment path may simply be controlling symptoms with a catheter. [nafc.org]
Surgery is the only treatment that will close the anal fistula. Vaginal Fistula: Symptoms and Treatment A vaginal fistula is a passageway that develops between the vagina and other organs in the pelvis. [study.com]
Vaginal fistulas usually require surgery, although some nonsurgical treatment options can sometimes be effective. [news-medical.net]
Treatment The goals of treatment of a fistula-in-ano are the elimination of sepsis and of the fistula tract, the prevention of recurrence, and the preservation of continence. [iffgd.org]
Fistulas can also be deliberately created as a form of treatment. [docdoc.com.sg]
Prognosis
Ultimately, prognosis is established individually based on the kind of fistula the patient has. [med.nyu.edu]
The recognition and early treatment can modify the patient prognosis. We report a case of a patient with previous surgery for seminoma of cryptorchidic testicle, with massive lower gastrointestinal bleeding. [scielo.br]
Prevention The prognosis for a dental fistula is typically very positive, provided you follow recommended treatment to eliminate the infection. Often, within a few months you won't even notice where the canal existed. [colgate.com]
[…] opening on axial images use the "anal clock": anterior = 12 o'clock identify secondary fistulous tracts and the sites of any abscess cavities in order to avoid therapeutic failure and recurrence cranial extension above the levator ani muscle Treatment and prognosis [radiopaedia.org]
Pseudoaneurysms and fistulas associated with endocarditis are infrequent entities, and patients only develop fistulas in 1.6% of cases.3 The poor prognosis of these complications is a result of the associated severe valve deterioration; in this patient [revespcardiol.org]
Etiology
In the presented case, neither colonoscopy nor pelvic radiography or MRI could reveal the forgotten surgical thread as an etiology of the fistula in ano. [hindawi.com]
RESULTS Etiology: Perianal abscess with spontaneous drainage was the most common etiology, ocurring in 132 patients (55%). Other etiologies of perianal fistula are shown in figure 2. [scielo.br]
Etiology and Pathophysiology Inspissated debris in an obstructed anal crypt gland results in suppuration and abscess formation. Tracking along the path of least resistance in the perianal and perirectal spaces leads to fistula formation. [unboundmedicine.com]
Etiology and Risk Factors The anastomotic leakage has a multifactorial etiology, linking intrinsic patient factors and intraoperative factors, which include the technique and experience of the surgeon (Table 1). [transbiomedicine.com]
Discussion There are scarce reports of CMV esophagic fistulae in scientific literature, usually involving a multimicrobial etiology (generally in HIV positive patients) (3,4). [scielo.isciii.es]
Epidemiology
Abstract The incidence and epidemiology of anal fistula were studied among the inhabitants of the City of Helsinki (population 510,000) during a 10-year period, 1969 to 1978. [ncbi.nlm.nih.gov]
System(s) affected: GI; skin/exocrine Synonym(s): fistula-in-ano; anal fistula Epidemiology True prevalence unknown Mean age of presentation for anal abscess and fistula is ~40 years. Males are twice as likely to develop an abscess and/or fistula. [unboundmedicine.com]
Fistula-in-ano in a defined population: incidence and epidemiological aspects. Ann Chir Gynaecol 1984; 73:219???224 [Google Scholar] 5. Sun MR, Smith MP, Kane RA. [ajronline.org]
"Epidemiologic study of vesicovaginal fistulas in ethiopia". International Urogynecology Journal. 4 (5): 278–281. doi:10.1007/BF00372737. ^ Tahzib, F. (1983). "Epidemiological determinants of vesicovaginal fistulas". [en.wikipedia.org]
Sources: 1 United States Renal Data System. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD, 2016. [azuravascularcare.com]
Pathophysiology
Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 28. Lentz GM, Krane M. Anal incontinence: diagnosis and management. [medlineplus.gov]
In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed March 17, 2017. Breen E, et al. [mayoclinic.org]
OBJECTIVE: To evaluate the efficacy of endovascular treatment of SDAVFs, depending on the pathophysiological mechanisms of impact on the spinal cord. [pesquisa.bvsalud.org]
Prevention
Ending obstetric fistula: Devastating and preventable childbirth injury continues to haunt women Ending obstetric fistula: Devastating and preventable childbirth injury continues to haunt women After decades of suffering, fistula survivors in Nepal find [endfistula.org]
Hamlin Fistula Ethiopia is a registered charitable organisation in Ethiopia dedicated to the treatment and prevention of childbirth injuries called obstetric fistulas. [hamlinfistula.org]
Prevention The immense number of obstetric fistulas occurring in developing countries is of great concern, particularly since they are preventable if the right facilities are in place. [ics.org]
Heller Fact 8: Training is critical Health professionals in afflicted countries are continuously being trained in preventing and managing obstetric fistula. WHO/P. [who.int]
The prevention and treatment of obstetric fistula contribute to achieving Sustainable Development Goal 3, which is ensuring healthy lives; in this case, improving maternal health. [un.org]