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Table 3 St James’s University Hospital classification

From: Direct hydrogen peroxide MRI fistulography versus indirect (intravenous) MRI fistulography in patients with perianal fistula

Fistula type

Course of the perianal fistula

Grade I

A simple inter-sphincteric fistula without any secondary tract/ramification or abscess

Grade II

An inter-sphincteric fistula associated with secondary tract/ramification or abscess

Grade III

A trans-sphincteric fistulous tact without any secondary tract or abscess

Grade IV

A trans-sphincteric Fistulous Tract Along Associated with Secondary tract/ ramification or abscess

Grade V

Any fistulous tract with supralevator or translevator extension