Anal fistula can be a challenging condition to manage, with complex fistulas presenting even greater difficulties. The primary concerns in treating this condition are a risk of damage to the anal sphincters, which can compromise fecal continence, and refractoriness to treatment, as evidenced by a high recurrence rate. Furthermore, the treatment of complex anal fistula involves several additional challenges. Satisfactory solutions to many of these obstacles remain elusive, and no consensus has been established regarding the available treatment options. In summary, complex anal fistula has no established gold-standard treatment, and the quest for effective therapies continues. This review discusses and highlights groundbreaking advances in the management of complex anal fistula over the past decade.
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Understanding the anatomical basis of anorectal fistulas and their surgical management: exploring different types for enhanced precision and safety Asim M. Almughamsi, Yasir Hassan Elhassan Surgery Today.2025;[Epub] CrossRef
From the Editor: Uniting expertise, a new era of global collaboration in coloproctology In Ja Park Annals of Coloproctology.2024; 40(4): 285. CrossRef
Surgeon oriented reporting template for magnetic resonance imaging and endoanal ultrasound of anal fistulas enhances surgical decision-making Si-Ze Wu World Journal of Radiology.2024; 16(12): 712. CrossRef