What causes fistula in males?

The leading causes of an anal fistula are clogged anal glands and anal abscesses. Other, much less common, conditions that can cause an anal fistula include: Crohn’s disease (an inflammatory disease of the intestine) Radiation (treatment for cancer)

Can fistula heal on its own?

Fistula tracts must be treated because they will not heal on their own. There is a risk of developing cancer in the fistula tract if left untreated for a long period of time. Most fistulas are simple to treat.

What is a Rectovestibular fistula?

A recto-vestibular fistula is the most common anorectal malformation seen in female patients. The condition is characterized by a connection between the rectum and the vaginal vestibule, at the lower aspect of the vaginal opening. The condition can cause feces and gas to exit the vaginal vestibule.

How common is perineal fistula in females?

Our series includes 90 males and 84 females, occupying the second place in frequency in males after the rectourethral fistulas (bulbar and prostatic) together and the third place in females after vestibular fistula and cloacas. However, we have reasons to believe that the perineal fistula is perhaps one of the two most frequent defects in females.

Can perineal fistula surgery be done later in life?

The operation also could be done later. Anal dilatations in cases of perineal fistula are sometimes rather difficult and painful. The reason is that one has to dilate a congenital stricture type of anomaly.

Can low anorectal malformation/rectoperineal fistula be corrected by simple anoplasty?

Conclusions: Low anorectal malformation/rectoperineal fistula may be overlooked in the newborn. When symptomatic, it may be corrected by a simple anoplasty with excellent results. Keywords: Anoplasty; Anorectal malformation; Anterior ectopic anus; Constipation; Rectoperineal fistula.

What is the prognosis of perineal anoplasty in neonates with perianal fistula?

These infants can be managed with a perineal anoplasty during the neonatal period with an excellent prognosis. High lesions require an emergent temporary diverting colostomy. After sufficient growth of the child, a pull-through procedure with a Peña posterior sagittal anorectoplasty (PSARP) is performed at 3–9 mo of age.