Fistulotomy and Lay Open Technique



Fistulotomy cures fistulas, few arguing with its use for low anal fistulas where recurrence rates are of the order of 5 %. Actually, higher tracts can also be laid open with similar success. All fistulotomy carries a risk of minor incontinence (flatus and slight staining) in between a quarter and one third of patients. The trick is to avoid unintended worse incontinence through proper history taking, clinical evaluation and imaging and to properly counsel patients as to what to expect.


Irritable Bowel Syndrome Anal Sphincter External Anal Sphincter Anal Fistula Internal Opening 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.St. Mark’s Fistula Research UnitSt. Mark’s HospitalLondonUK

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