Mid- and long-term functional outcomes of advancement flap for cryptoglandular perianal fistulas.

ABSTRACT:

Background

Surgical treatment for perianal fistulas requires balancing fistula closure with the risk of complications such as incontinence. The advancement flap (AF) is a widely used sphincter-sparing technique, yet it appears to offer only marginally better outcomes compared to alternative techniques, with a notable incontinence rate. This study aimed to evaluate the success rate and long-term functional outcomes of AF at our tertiary referral center.

Methods

This retrospective cohort study analyzed prospectively collected data from electronic medical records and questionnaires distributed in December 2023. Patients aged 18 or older with primary or recurrent perianal fistulas treated with AF between 2013 and 2023 were included. Fistulas of non-cryptoglandular origin and rec

SUBMITTER: van Oostendorp JY 

PROVIDER: S-EPMC12064625 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature