title: Anal fistula. Past and present.
abstract: Anal fistula is a common benign condition that typically describes a miscommunication between the anorectum and the perianal skin, which may present de novo, or develop after acute anorectal abscess. Athough anal fistulae are benign, the condition can still negatively influence a patient's quality of life by causing minor pain, social hygienic embarrassment, and in severe cases, frank sepsis. Despite its long history and prevalence, anal fistula management remains one of the most challenging and controversial topics in colorectal surgery today. The end goals of treatment include draining the local infection, eradicating the fistulous tract, and minimizing recurrence and incontinence rates. The goal of this review is to ensure surgeons and physicians are aware of the different imaging and treatment choices available, and to report expected outcomes of the various surgical modalities so they may select the most suitable treatment.
authors.affiliation: Colorectal Research Center, General Surgery Division, Department of Surgery, King Khalid University Hospital, College of Medicine, King Saud University, PO Box 7805 (37), Riyadh 11472, Kingdom of Saudi Arabia. Tel. +966 (11) 4671585. Fax. +966 (11) 4679493. E-mail. azubaidi@ksu.edu.sa.
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Zubaidi
mesh_terms: D006801:Humans; D012003:Rectal Fistula / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed