AIM: The study aimed to evaluate outcome at one year of one and two stage fistulotomy for @entity9292 in a large group of @entity1 . METHOD: A prospective multicentre observational study was designed to include @entity1 with @entity9292 treated by one or two stage fistulotomy. Data were collected using a self-administered questionnaire before surgery, during healing and at one year after surgery. RESULTS: One hundred thirty three @entity1 (Group A) with a @entity9292 underwent a one stage fistulotomy. The median anal Wexner @entity322 scores before and after surgery were 1.0 (0-11) and 2.0 (0-18) (p=0.032) and the Vaizey scores were 2.0 (0-14) and 3.0 (0-21) (p=0.055). The Wexner scores (%) before and after fistulotomy were [0-5] (88%-86%), [6-10] (10.7%-10.7%), [11-15] (1.0%-2.6%), and [16-20] (0-2%). Eighty-seven per cent of the @entity1 were satisfied. Sixty two @entity1 (Group B) underwent two-stage fistulotomy for a high transsphincteric @entity292 . Two needed a third operation. The Wexner scores(%) before the first stage and one year after the second stage were [0-5] (86%-66%), [6-10] (4.5%- 20%), [11-15] (9%-11%), and [16-20] (0%-2%). The median Wexner scores before and after the second stage were 1 (0-14) vs. 4 (0-19) (p<0.001), and the median Vaizey scores were 1.5 (0-11) vs. 4 (0-20) (p<0.001). Eighty eight per cent of the @entity1 were satisfied. CONCLUSION: Low @entity9292 can be treated by fistulotomy without clinical significant continence disturbance. Treating high transsphincteric anal fistulas with two-stage fistulotomy is followed by mild continence disturbance. Satisfaction rates were high. This article is protected by copyright. All rights reserved.

The outcome of fistulotomy for XXXX at one year: a prospective multicentre French study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity9292 :: ('MESH:D012003', 'Disease') :: ['low anal fistula', 'transsphincteric anal fistula', 'anal fistula'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence']
@entity9292 :: (MESH:D012003,Disease) :: ['anal fistula']
