Perianal fistula;who is and who has symptoms
Written by:The perianal fistula can affect approximately 10 per 100,000 population. It has been shown that happens in the middle age of life and the incidence in males is twice that in women.
The perianal fistula is an abnormal passage or communication established between the anal canal and the skin around the anus. Therefore, most of the fistulas have an internal hole located at different heights the anal canal, have a trip that can pass through the muscles or sphincters that govern the opening and closing of the anus and have an external opening in the skin through which goes a purulent liquid and sometimes fecal content.
Symptomatology
The pain and constant or intermittent suppuration are the key symptoms of a patient having a perianal fistula. When a perianal abscess appears, other symptoms such as fever and the presence of a hot bulge and tension in the perianal region are added.
As occurs
Most of perianal fistulas have their origin in some glands that are located in the anal canal and whose mission lubricate the mucous membrane lining the channel. These glands have a small output canaliculi, which communicate with each other to find the easiest place to drain your mucous content.
If this drainage is difficult by increasing the viscosity, can cause a blockage of the glands, which are progressively dilating iran spreading adjacent areas. At any time you can produce a colonization by germs glands, sobreinfectandose them and giving rise to the appearance of a abscess or collection of pus.
Therefore, it is no wonder that the majority of patients seen by a fistula report having suffered a previous perianal abscess, or I drain spontaneously, or as happens most of the time, required an urgent surgical intervention to drain and clean, which is known by the term“surgical debridement &rdquo ,.