Effect of Fistula in Ano Surgery on Anorectal Manometric Study

Document Type : Original Article

Authors

The Department of General Surgery, Faculty of Medicine, Cairo University

Abstract

Abstract
Background: Surgical treatment of anal fistula is associated with a significant risk of impaired continence. Anorectal manometry is the most widely available tool for investigating anorectal function.
Patients and Methods: Twenty patients of age ranging from twenty to sixty years old underwent treatment of anal fistula. They did anorectal manometry before and two months after management.
Results: Significant decrease noted in the resting and squeezes pressure and maximal tolerable volume in the rectum.
Conclusion: Anorectal manometry is a valuable tool in detecting the effect of anal fistula surgery on anorectal function even in subclinical conditions that may be helpful in opening the way for studies predicting high risk patient after anal fistula surgery to start treatment before reaching the clinical condition.

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