This site is intended for healthcare professionals
Login | Register (NOW FREE)

Medical search

perineal(cutaneous) fistula

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

Patients with imperforate anus and a perineal, cutaneous fistula have the opening of the latter situated between external genitalia and the site of the external anal sphincter.

Perineal inspection reveals:

  • a 'bucket handle' skin tag
  • a meconium-filled, black subepithelial area representing the fistula
  • an anal dimple

Repair in both sexes involves a minimal posterior sagittal anoplasty at 3-4 months of age. The rectum is partially dissected and then moved to the region of the external sphincter. The formation of a protective colostomy is not required.

Prognosis for return of function is excellent, but intermittent constipation remains a residual problem in most cases. It is treated prophylactically.

The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.