PMC4264308_01
External opening of fistula at scrotum during inspection
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F1
On local examination, there were two visible external openings on the scrotum anteriorly on median raffe [Figure 1].
Fistulogram antero-posterior view
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F2
The antero-posterior [Figure 2] and lateral view of fistulogram[Figure 3] showed that the internal opening was at 12'O clock position with involvement of few fibers of external sphincters.
Fistulogram lateral view
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F3
The antero-posterior [Figure 2] and lateral view of fistulogram[Figure 3] showed that the internal opening was at 12'O clock position with involvement of few fibers of external sphincters.
During ksharasutra ligation
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F4
The internal opening was dissected and widened to drain completely (cryptoglandular), and ksarasutra was tied [Figure 4].
After treatment
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F5
Next visit it was observed that the whole tracts had healed completely with minimal scar [Figure 5].