title: Fistula in ano as a rare complication of mediolateral episiotomy: report of three cases.
abstract: Fistula in ano has been reported as a rare complication of midline episiotomy. We report here 3 cases of fistula in ano complicating mediolateral episiotomy. One was suprasphincteric and 2 were transsphincteric. All patients had perineal pain and chronic suppuration. Before referral, 2 patients underwent incision and drainage alone. As a definitive procedure fistulotomy was performed, and long-term functional results have been satisfactory.
authors.affiliation: Department of Obstetrics and Gynecology, CHI Creteil, and the Division of Maternal-Fetal Medicine, University of Tennessee, Memphis, TN 38103, USA.
authors.forename: E
authors.initials: E
authors.lastname: Barranger
authors.forename: B
authors.initials: B
authors.lastname: Haddad
authors.forename: B J
authors.initials: BJ
authors.lastname: Paniel
mesh_terms: D000328:Adult; D001004:Anus Diseases / Q000150:complications / Q000601:surgery*; D004322:Drainage; D004841:Episiotomy; D005260:Female; D005402:Fistula / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D014624:Vaginal Fistula / Q000150:complications / Q000601:surgery*