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An anal fistula also called fistula-in-ano is a small tunnel that tracks from an opening inside the anal canal to an outside opening in the skin near the anus. An anal fistula often from a or current anal abscess. However, a fistula can also occur without an abscess. Small glands just inside the anus are part of normal anatomy. If the glands in the anus become clogged, this may result in an infection. When the infection is serious, this often le to an abscess. Bacteria, feces, or foreign matter can also clog the anal glands and cause an abscess to form.

A patient with an abscess may have pain, redness or swelling in the area around the anal area or canal. Other common s include feeling ill or tired, fever and chills. Patients with fistulas have similar symptoms, as well as drainage from an opening near the anus. A fistula is suspected if these symptoms tend to keep coming back in the same area every few weeks. Most anal abscesses or fistulas are diagnosed and managed based on clinical findings.

Occasionally, imaging studies such as ultrasound, CT scan or MRI can help in the diagnosis and management of deeper abscesses and may be used to visualize the fistula tunnel. The treatment of an abscess is surgical drainage under most circumstances.

It is important that your surgeon be very familiar with treating abscesses and fistula. Colorectal surgeons are experts in this area. For most patients, an abscess can be drained surgically through a simple procedure.

An incision is made in the skin near the anus to drain the infection. Some patients with more severe disease may require multiple surgeries to take care of the problem. Patients who tend to get more severe infections due to diabetes or immunity problems may need to be hospitalized. Surgery is nearly always needed to treat an anal fistula.

In many patients, if the fistula is not too deep, a fistulotomy is performed. During this surgery, the fistula track will be opened to allow healing from the bottom up. The surgery may require dividing a small portion of the sphincter muscle. A large amount of the sphincter muscle is not divided as this could lead to problems with bowel control fecal incontinence. If the fistula track does involve a large portion of the sphincter muscle, other more involved surgeries are done to treat the fistula without harming the sphincter muscle.

More difficult cases may require multiple surgeries. Antibiotics alone are not effective in treating abscesses or fistula. Antibiotics may be needed, in addition to surgery, if a patient has immunity issues, specific heart valve conditions or widespread cellulitis a bacterial infection of the skin and tissues under the skin. Providing your physician with an accurate medical history and undergoing a physical exam are important steps in deciding if antibiotics are required. Your surgeon will advise you on proper postsurgical care. Unfortunately, despite proper treatment and complete healing, an abscess or a fistula can come back.

If an abscess comes back, it suggests that perhaps there is a fistula that needs to be treated. If a fistula comes back, additional surgery will likely be required to treat the problem. Colon and rectal surgeons are experts in the surgical and non-surgical treatment of diseases of the colon, rectum and anus. They have completed advanced surgical training in the treatment of these diseases as well as full general surgical training.

Board-certified colon and rectal surgeons complete residencies in general surgery and colon and rectal surgery, and pass intensive examinations conducted by the American Board of Surgery and the American Board of Colon and Rectal Surgery. They are well-versed in the treatment of both benign and malignant diseases of the colon, rectum and anus and are able to perform routine screening examinations and surgically treat conditions if indicated to do so. The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention and management of disorders and diseases of the colon, rectum and anus.

These brochures are inclusive but not prescriptive. Their purpose is to provide information on diseases and processes, rather than dictate a specific form of treatment. They are intended for the use of all practitioners, health care workers and patients who desire information about the management of the conditions addressed. It should be recognized that these brochures should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtain the same .

The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all the circumstances presented by the individual patient. Print this brochure. Search for:. Colorectal Cancer Risk Colorectal cancer—cancer of the colon and rectum—is the second leading cancer killer in the United States affecting both men and women.

Your risk increases as you age. Some people are at even higher risk depending on their personal or family history Following treatment for either colon or rectal cancer, ongoing follow-up to detect recurrent disease is considered an important part of patient care for colorectal cancer. Colorectal cancer follow-up refers to a systematic approach to monitoring patients for new or recurr Colon Cancer Expanded Version. Colon cancer is a common malignancy in the United States.

The treatment of patients with colon cancer can be complicated and may require a team of surgical and medical specialists. This review provides general information for patients and their families, covering colon ca Enhanced Recovery After Surgery. Enhanced recovery after surgery, known as ERAS is a multimodal approach to surgical care that has been shown to improve recovery after surgery, especially in patients undergoing colorectal surgical bowel resections.

Patients typically experience less pain, faster reco Irritable Bowel Syndrome Expanded Version. Irritable bowel syndrome IBS is a common disorder affecting over 15 percent of the population. The following information has been prepared to help patients and their families understand IBS, including the symptoms, causes, evaluation, and treatment options. IBS is one Minimally Invasive Surgery Expanded Version. In addition to the decision to undergo surgery, patients are often faced with a choice of traditional or minimally invasive surgical techniques. In order t Pruritus Ani. This condition causes irritation of the skin near the anus, resulting in a strong urge to scratch the area.

In many cases, no specific problem is found to explain the itching. Human Papillomavirus HPV. HPV stands for human papillomavirus. HPV is a collection of related viruses that can cause a variety of different problems of the genital and anal skin. It is the most common sexually transmitted infection STI and can cause genital and anal warts, a pr Rectal Prolapse Expanded Version.

This information may also be useful to the friends, families, and caregivers of patients dealing with rectal pr Anal Pain. Anal pain can occur before, during, or after a bowel movement. It can range from a mild ache that can get worse over time to pain that is bad enough to restrict daily activities. Anal pain has many causes, most of which are common and treatable. However, if anal pain does not A rectocele is a bulging of the front wall of the rectum into the back wall of the vagina.

The rectum is the bottom section of your colon large intestine. This is a very common problem that often does not produce symptoms. Other pelvic organs can bulge into the vagina, incl Anal Cancer. The anal canal is a short tube surrounded by muscle at the end of your rectum. When you have a bowel movement, stool leaves your body from the rectum through the anal canal. Cancer begins when some of the b Anal warts also called "condyloma acuminata" are a condition that affects the area around and inside the anus.

They may also affect the skin of the genital area. They first appear as tiny spots or growths, perhaps as small as the head of a pin, and may Rectocele Expanded Information. A rectocele is a herniation bulge of the front wall of the rectum into the back wall of the vagina. The tissue between the rectum and the vagina is known as the rectovaginal septum and this structure can become thin and weak over time, resulting in a r Polyps of the Colon and Rectum. Colorectal polyps are commonly found during standard screening exams of the colon large intestine and rectum the bottom section of your colon.

Polyps are abnormal growths that start in the inner lining of the colon or rec Laparoscopic Surgery - What is it? In the past, this technique was commonly used for gynecologic surgery and for gall bladder surgery. Over the last 10 years the use of this technique has expanded into intestinal s Pelvic Floor Dysfunction.

Pelvic floor dysfunction is a group of disorders that change the way people have bowel movements and sometimes cause pelvic pain. These disorders can be embarrassing to discuss, may be hard to diagnosis and often have a negative effect on quality of life.

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Anal Fistula