Question 44
0
A 29-year-old patient presents with an anovaginal fistula following a vaginal delivery 2 years ago and which was complicated by a fourth-degree perineal laceration. She reports incontinence to gas and liquid stool. Digital rectal examination demonstrates diminished sphincter tone, and anoscopy reveals a 1-cm internal fistula opening in the anterior midline at the dentate line. The most next appropriate step is
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Citation
"Question 44." CARSEP XII, ASCRS U, www.ascrsu.com/ascrs/view/CARSEP XII/3094044/all/Anorectal_Disease. Accessed 21 April 2026.
Question 44. CARSEP XII. https://www.ascrsu.com/ascrs/view/CARSEP XII/3094044/all/Anorectal_Disease. Accessed April 21, 2026.
Question 44. In CARSEP XII https://www.ascrsu.com/ascrs/view/CARSEP XII/3094044/all/Anorectal_Disease
Question 44 [Internet]. In: CARSEP XII. [cited 2026 April 21]. Available from: https://www.ascrsu.com/ascrs/view/CARSEP XII/3094044/all/Anorectal_Disease.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Question 44
ID - 3094044
BT - CARSEP XII
UR - https://www.ascrsu.com/ascrs/view/CARSEP XII/3094044/all/Anorectal_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
CARSEP XII

