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Related Experiment Videos

Fistula-in-ano after episiotomy.

D Howard1, J O DeLancey, R E Burney

  • 1Department of Obstetrics and Gynecology, University of Michigan Health Systems, Ann Arbor 48109-0276, USA.

Obstetrics and Gynecology
|July 27, 2000
PubMed
Summary
This summary is machine-generated.

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Persistent postpartum pain or drainage after episiotomy may indicate fistula-in-ano. Early diagnosis and surgical treatment with fistulotomy and curettage can effectively resolve this condition.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Background:

  • Persistent pain and drainage following fourth-degree lacerations or episiotomy infections can be challenging to manage.
  • Standard treatments often fail to resolve these complex postpartum complications.

Observation:

  • Three women presented with refractory symptoms, with evaluation occurring between 5 weeks and 2 years postpartum.
  • Diagnosis revealed fistula-in-ano as the underlying cause of persistent episiotomy site issues.

Findings:

  • Surgical intervention using fistulotomy and curettage was performed for all three patients.
  • This treatment approach successfully resolved the fistula-in-ano and associated symptoms in all cases.

Implications:

  • Clinicians should consider fistula-in-ano in the differential diagnosis for patients with persistent episiotomy site pain or drainage.

Related Experiment Videos

  • Timely surgical management of fistula-in-ano can lead to favorable outcomes in postpartum patients.