An anal fistula usually develops as a result of an anal abscess which is drained or bursts. Around half of people who develop an anal abscess will go onto develop an anal fistula. An anal fistula is a track which forms between the inside of the anus and the skin on the outside. This track will continue to drain pus like material and occasionally faecal matter.
Once a fistula has formed it is very unlikely to heal without treatment. Anal fistulae may also develop as a result of other conditions such as Crohn’s disease.
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M.J.Waldron. West Midlands. July 2011.