A CASE OF LONG ANO-SCROTAL FISTULA PRESENTING AS A PRIMARY SCROTAL DISCHARGE AND ITS MANAGEMENT BY FISTULECTOMY AND PRIMARY CLOSURE.

Abstract

Introduction: Fistula-in-ano is an anorectal condition prevalent in the population worldwide. It is an inammatory track lined by granulation tissue which connects perianal skin supercially to anal canal; anorectum or rectum deeply. It is characterised by chronic purulent discharge or cyclical pain associated with abscess formation followed by intermittent spontaneous decompression. In some cases of men with anal stulas, the stula can extend into the scrotum, in which case the scrotum is usually painful and presents with redness, swelling and pus discharge from the external opening that is the secondary scrotal orice of the stula and can sometimes be misdiagnosed as scrotal abscess. Fistula with extension into scrotum is one of the rare complications of stula. Nearly about 82% ano-scrotal stulas had anterior opening and they are mostly intersphincteric or transsphincteric stulas.