Complex Anoscrotal fistula in an adult treated with DLPL technique

Abstract

Ano-scrotal fistula is an uncommon condition involving an epithelialised tract between the anal canal and scrotal wall. It is more commonly seen as a congenital phenomenon in the paediatric population, in adults it can result from sexual-transmitted diseases (Gonorrhea urethritis), tuberculosis, shistosomiasis, perianal actinomycosis, Crohn disease, anorectal malformation.Complex anal fistulas, unlike simple fistulas, are more difficult to treat because fistulotomy would predictably result in incontinence.We present the case of a man aged 35 years who developed a complex recurrent anoscrotal fistula with multiple scrotal opening and internal opening at 12 o clock position. Patient was successfully treated with DLPL i.e. Distal Laser Proximal Ligation. We present for the first time a rare anoscrotal fistula in an adult treated with DLPL technique. Distal Laser proximal Ligation (DLPL) is a novel technique innovated by Author for complex scrotal fistulas.