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postoperative rates of recurrence and incontinence vary according to the procedure performed, as follows standard fistulotomy - the reported rate of recurrence is 0-18, and the rate. Anal fistula, or fistula-in-ano, is a condition involving the anal region that is common yet debilitating. Surgery is the mainstay of treatment for an anal fistula and the chances of recurrence are quite high even after corrective surgical procedures. The risk factors for recurrence can be broadly classified into four categories 1) risk factors related to the fundamental anatomy of the. The paper discusses the problem of anal fistula recurrence after surgery. The recurrence rate after surgical treatment of anal fistulae ranges from 0 to 26. anal fistula is among the most common illnesses affecting man. Medical literature dating back to 400 bc has discussed this problem. Various causative factors have been proposed throughout the centuries, but it appears that the majority of fistulas unrelated to specific causes (e. Tuberculosis, crohns disease) result from infection (abscess) in anal glands extending from the. recurrence of the disease in both seton placement and rectal advancement flap methods can be due to the surgeons inadequate experience and failure to diagnose internal fistula hole, horseshoe fistula, nicotine use by the patient, and a history of chronic constipation. In either case, the procedure was more successful than other fistula treatments designed to spare the sphincter muscles. Anal fistula surgery risks can be scary, but if you dont receive surgical treatment, your condition will never improve. An anal fistula is a fistula formed inside your anus and the skin around it is also infected. Anal fistulas can be very much treated but there is always a chance of their recurrence. The chances of recurrence mainly depends on the method of treatment. the recurrence rate of anorectal fistulas after fistulotomy, fistulectomy, or the use of a seton is about 1. The success rate of primary surgical treatment with fistulotomy appears to be fairly.