Functional results following fistulectomy with primary muscle suture in high anal fistula. a prospective clinical and manometric study
Lux, N.; Athanasiadis, S.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 62(1): 36-41
1991
ISSN/ISBN: 0009-4722 PMID: 2026067 Document Number: 378186
A prospective study was carried out on 46 patients with anal fistula to evaluate clinical aspects and anal manometry. In 26 patients a high fistula was diagnosed (type II, n = 20; type III, n = 6). In those cases the sphincter-saving technique with primarily muscle suturing was used. 70% (n = 14) of type II and 100% (n = 6) of type III had been operated on before. Out of 26 five patients (19.2%) with high anal fistula developed incontinence in the case of watery stools postoperatively, 4 of those only once in a while. There was no complaint about incontinence for solid stool at all.