Related Experiment Video

Updated: Jan 20, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System

Published on: September 20, 2018

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Risk factors for the recurrence of perineal canal

Keisuke Kajihara1, Hiroaki Fukuzawa2, Koji Fukumoto3

  • 1Department of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan. ballack13_kay@yahoo.co.jp.

Pediatric Surgery International
|August 18, 2019
PubMed

Insights

Surgical closure of the rectal wall with stitches is a significant risk factor for perineal canal (PC) recurrence. Ligation of the fistula is a safer alternative, reducing recurrence rates in PC patients.

Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Fistula Treatment

Background:

  • Perineal canal (PC) recurrence after surgery presents a significant clinical challenge.
  • Identifying modifiable risk factors is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate risk factors associated with perineal canal (PC) recurrence following surgical intervention.
  • To compare surgical techniques for fistula treatment in relation to recurrence rates.

Main Methods:

  • Retrospective analysis of 17 patients with PC who underwent surgical operations.
  • Comparison of preoperative infection, age, colostomy presence, and fistula treatment method between recurrence and non-recurrence groups.
  • Fistula treatment methods included rectal wall closure with stitches versus fistula ligation.

Main Results:

  • Recurrence was observed in 6 out of 17 patients.
  • No significant differences were found in preoperative infection, age, or colostomy presence between groups.
  • A significant association (p=0.04) was found between PC recurrence and rectal wall closure with stitches.

Conclusions:

  • Surgical closure of the rectal wall with stitches is identified as a significant risk factor for perineal canal (PC) recurrence.
  • Fistula ligation appears to be a more favorable surgical approach, associated with lower recurrence rates.
Abstract

Keywords:
Ligation of fistulaPerineal canalRisk factor for recurrenceVestibulo-anal pull-through

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