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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 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. An anal fistula, also known as fistula-in-ano, is a small channel that connects the rectum to the outer skin of the buttocks. When a fistula forms, it can cause complications for the sufferer, such as irritation, infection, and draining pus and fecal material. anal abscess is by far the most common cause of anal fistula, and is responsible for causing approximately 80 of cases. Up to half of all patients with an anal abscess will develop an anal fistula. 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. Anal fistula an unexplained to between the canal of the anus and the outer skin is a fistula. An all fistula is responsible for rupturing the outer tissue of anus and thereby cause discomfort.