LAUSR

Perianal fistulas are a frequent cause of morbidity. The causes of perianal fistula include cryptoglandular infection, Crohn’s disease, radiotherapy, and malignancy. Perianal fistula as an adverse event of anal canal surgery occurs infrequently. We report the EUS-guided management of a case of postsurgical perianal fistula with cyanoacrylate glue injection. A 35-year-old man presented with recurrent urinary tract infection requiring multiple courses of antibiotics for the past 15 years. He had undergone surgery for an imperforate anus at birth, and an anal stricture developed, which required repeated bougienage dilation until he was 4 years of age. After anal dilation, he had intermittent passing of urine through the anal opening and received a diagnosis of anourethral fistula. He underwent fistulectomy with urethral repair and anoplasty 1 year later and improved symptomatically, but he had recurrence of symptoms at 16 years of age and underwent fistulectomy again, with significant improvement. He became symptomatic again after