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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
Abstract
Background:
In the past 2 years, we treated three women with fourth-degree lacerations or episiotomy infections presenting with persistent pain and drainage not responding to standard treatment.
Cases:
These women were referred for evaluation 5 weeks, 3.5 months, and 2 years postpartum. After diagnosing fistula-in-ano, we treated them with fistulotomy and curettage, which resolved the problem.
Conclusion:
When a patient presents with pain or drainage at her episiotomy site, fistula-in-ano should be considered.