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an anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. If youre dealing with one or more fistulas, youll surely want them to be gone. Ive put together a basic guide to anal fistulas to help you understand this difficult condition and what options are available. Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract (anus). An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poo leaves the body). Theyre usually the result of an infection near the anus causing a collection of pus in the nearby tissue. When the pus drains away, it can leave a small channel behind. Anal fistula what is an anal fistula? An anal fistula is a small tunnel that connects an abscess, an infected cavity in the anus, to an opening on the skin around the anus. The anus is the external opening through which feces are expelled from the body. Surgery for an anal fistula is usually carried out under general anaesthetic. In many cases, its not necessary to stay in hospital overnight afterwards. The aim of surgery is to heal the fistula while avoiding damage to the sphincter muscles, the ring of muscles that open and close the anus, which could potentially result in loss of bowel control (bowel incontinence). An anal fistula is an abnormal tunnel from the anus or rectum to the skin or another organ. An anorectal abscess is a collection of pus from an infection in the anus or rectum. What causes an anorectal abscess and anal fistula? You might have been born with an anal fistula.