Fistula-in-ano after episiotomy.

Howard, D; DeLancey, J O; Burney, R E · Obstet Gynecol · 1999

case_report · Level V

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Abstract

In the past 2 years, we treated three women with fourth-degree lacerations or episiotomy infections presenting with persistent pain and drainage not responding to standard treatment. These women were referred for evaluation 5 weeks, 3.5 months, and 2 years postpartum. After diagnosing fistula-in-ano, we treated them with fistulotomy and curettage, which resolved the problem. When a patient presents with pain or drainage at her episiotomy site, fistula-in-ano should be considered.

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