Operative Management of Anal Fistula in Lagos: Outcomes and Complications.

Cohort studyThe Nigerian postgraduate medical journal· Jul 2026

Operative Management of Anal Fistula in Lagos: Outcomes and Complications.

Olanrewaju Samuel Balogun, Abdulrazzak Oluwagbemiga Lawal, Adedapo Olumide Osinowo … Adedoyin Adekunle Adesanya

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Colon & Rectal SurgeryCohort studyTreatmentQ3IF 1.4

Surgical excision of anal fistula tracts had low recurrence in Lagos patients.

Operative Management of Anal Fistula in Lagos: Outcomes and Complications.

Olanrewaju Samuel Balogun … Adedoyin Adekunle Adesanya

The Nigerian postgraduate medical journal · Jul 2026 · Q3 in General Medicine

Background

Fistula-in-ano (fistula-in-ano) describes an anal condition in which there is a connecting tract between the perianal skin and the lining of the anal canal.

Purpose

The study aimed at reporting our experiences of surgery for fistula-in-ano.

Methods

This is a retrospective review of available records of fistula-in-ano cases in patients aged 16 years or more managed between February 2016 and February 2025.

n = 30 cases

6.7%

Results

6.7%

recurrence was rare after excision, most patients stayed healed

n = 30 cases

More results

There were 24 males (80%) and 6 females (20%) giving a ratio of 4:1.

The mean age of all patients was 40.8 ± 10.8 years (range: 24-60 years).

Twenty-seven cases (90%) were primary fistula-in-ano; all patients presented with recurrent anal discharge of pus.

Twenty-three patients (76.6%) presented with perianal pain.

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Conclusion · 1 of 2

Fistula-in-ano occurs mostly in males; the majority are of low posterior type. Surgical deroofing or excision of the tract with surgical or seton fistulotomy has a good success rate.

Conclusion · 2 of 2

It is recommended as the first line of treatment in low-resource settings.

Operative Management of Anal Fistula in Lagos: Outcomes and Complications.

Operative Management of Anal Fistula in Lagos: Outcomes and Complications.

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