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Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred to as eua or examination under anaesthesia). The fistula may be explored by using a fistula probe (a narrow instrument). Diagnosis may be aided by performing a fistulogram, proctoscopy andor sigmoidoscopy. anal fistulas are classified into the following 4 general types intersphincteric - through the dentate line to the anal verge, tracking along the intersphincteric plane, ending in the perianal. Blind fistula this type of anal fistula is open only at one end but connects two structures. Complete fistula this anal fistula has both, an internal & external opening. Horseshoe fistula this type of anal fistula connects anal canal to surface of skin near anus after. An anal fistula is defined as a small tunnel with an internal opening in the anal canal and an external opening in the skin near the anus. Anal fistulas form when an anal abscess, thats drained, doesnt heal completely. Different types of anal fistulas are classified by their location. The most common type of surgery for anal fistulas is a fistulotomy. This involves cutting along the whole length of the fistula to open it up so it heals as a flat scar. A fistulotomy is the most effective treatment for many anal fistulas, although its usually only suitable for fistulas that do not pass through much of the sphincter muscles, as the risk of incontinence is lowest in these cases. a fistula is an abnormal, tube-like connection, a passage or hole that forms between two organs or an organ in your body and your skin. There are various types of fistulas that can develop in different parts of your body but the most common types are-1. Obstetric fistulas this is the name given to a hole between the vagina and rectum or bladder. Perianal fistula (or fistula-in-ano) (plural fistulae or fistulas) is the presence of a fistulous tract acrossbetweenadjacent to the anal sphincters and is usually an inflammatory condition 4. Anal fistulas are classified into many types based on its location with respect to the surrounding structures of the anus. Some of them include peri-anal, intersphicteric fistula and ischio-anal fistula. The anal fistula is considered the most common type of fistula. It usually forms near the anus and may or may not have connection with the rectum. It originates from the anal glands that are located between the two layers of the anal sphincters. If youre dealing with one or more fistulas, youll surely want them to be gone. Ive put together a basic guide to anal fistulas to help you understand this difficult condition and what options are available.