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Anal fistula is a chronic abnormal communication between the anal canal and the perianal skin. [1] An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. [2] Anal fistulae commonly occur in people with a history of anal abscesses. They can form when ...
Goodsall's rule relates the external opening (in the perianal skin) of an anal fistula to its internal opening (in the anal canal). It states that if the perianal skin opening is posterior to the transverse anal line, the fistulous tract will open into the anal canal in the midline posteriorly, sometimes taking a curvilinear course.
619 Fistula involving female genital tract. 619.0 Urinary-genital tract fistula, female Vesicovaginal fistula; 620 Noninflammatory disorders of ovary, fallopian tube, and broad ligament. 620.0 Cyst of ovary, follicular; 620.1 Corpus luteum cyst; 621 Disorders of uterus, not elsewhere classified 621.2 Uterus, hypertrophy; 621.3 Endometrial ...
In men, at least three different types of fistula are possible. [3] The hindgut may enter and preserve the urogenital sinus after birth. [ 3 ] The hindgut may replace the urogenital sinus completely, in which case it may also replace the urinary bladder and cause the ureters to drain into it.
In anatomy, a fistula (pl.: fistulas or fistulae /-l i,-l aɪ /; from Latin fistula, "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other.
The perineal raphe is a visible line or ridge of tissue on the body that extends from the anus through the perineum to the scrotum (male) or the vulva (female). It is found in both males and females, arises from the fusion of the urogenital folds, and is visible running medial through anteroposterior, to the anus where it resolves in a small knot of skin of varying size.
The perineal body (or central tendon of perineum) is a pyramidal fibromuscular mass in the middle line of the perineum at the junction between the urogenital triangle and the anal triangle. In males, it is found between the bulb of the penis and the anus ; in females, it is found between the vagina and anus, and about 1.25 cm (0.49 in) in front ...
Imperforate anus usually requires immediate surgery to open a passage for feces unless a fistula can be relied on until corrective surgery takes place. Depending on the severity of the imperforate, it is treated either with a perineal anoplasty [10] or with a colostomy.
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