Rules for anal fistulas with scrotal extension

Autor: Yoshiro Araki, Ryuzaburo Kagawa, Hiroshi Yasui, Masahiro Tomoi
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of the Anus, Rectum and Colon, Vol 1, Iss 1, Pp 22-28 (2017)
Druh dokumentu: article
ISSN: 2432-3853
DOI: 10.23922/jarc.2016-005
Popis: Objectives: To evaluate the rules for anal fistulas with scrotal extension, in particular, whether a high transsphincteric or suprasphincteric fistula, of which internal openings are usually located posteriorly, would extend into the scrotum. Methods: We retrospectively analyzed 446 consecutive male patients who underwent definitive anal fistula surgery. We compared fistulas with scrotal extension according to the location of the internal opening and divided them into anterior and posterior groups. Results: Forty-six (82.1%) of the 56 anal fistulas with scrotal extension had anterior internal openings. After excluding recurrent fistulas, 42 (87.5%) of the 48 anal fistulas with scrotal extension had anterior internal openings. The relative risk of scrotal extension in the anterior group was 14.22 times higher than that in the posterior group (95% CI: 7.43-27.21; p
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