Fistula

Types of Anal Fistula

Understanding different classifications of anal fistulas and their implications.

Fistula Classifications

Intersphincteric Fistula

The most common type, located between the internal and external sphincter muscles. Usually simple and easy to treat.

Transsphincteric Fistula

Passes through both sphincter muscles. May require more complex treatment to preserve continence.

Suprasphincteric Fistula

Rare type that passes above the sphincter muscles. Often associated with Crohn's disease.

Extrasphincteric Fistula

Very rare, passes outside the sphincter muscles. Usually results from trauma or surgery.

Simple vs Complex

Simple fistulas are low-lying and straight, while complex fistulas are high-lying, curved, or involve multiple tracts.

Why Classification Matters

Proper classification helps determine the most appropriate treatment approach and predicts the likelihood of complications.