Efficacy of Permacol injection for perianal fistulas in a tertiary referral population: poor outcome in patients with complex fistulas.

Aim: Injection of Permacol collagen paste can be used as a sphincter-sparing treatment for perianal fistulas. In a tertiary referral population we aimed to evaluate the efficacy of Permacol injection and the clinical and fistula-related factors associated with recurrence.

Method: This was a retrospective analysis of consecutive patients with perianal fistulas treated with Permacol injection at a specialist centre between June 2015 and April 2019.

[Survey among gynaecologists and surgeons on rectocele].

Objective: Provide insight into how gynaecologists and surgeons name, diagnose and treat a rectocele and identify the differences between these two professional groups.

Design: Questionnaire survey.

Methods: We sent an online survey with 16 multiple-choice questions to gynaecologists and surgeons from two national working groups.