Fistuography Examination Procedure with Clinical Perianal Fistula at Radiology Installation RSPAL Dr. Ramelan Surabaya

Authors

  • Meylinda Putri Subekti Polytechnic of the Ministry of Health, Semarang
  • Agustina Dwi Prastanti Polytechnic of the Ministry of Health, Semarang

DOI:

https://doi.org/10.47701/jtz82w34

Keywords:

fistulography, perianal fistula, examination procedure

Abstract

The fistuography examination technique theoretically uses fluoroscopy and anteroposterior (AP), Lateral and Oblique projections. However, at the radiology installation of RSPAL dr. Ramelan Surabaya, fistuography examination was carried out using a mobile unit x-ray and Lateral and Oblique projection. The purpose of this study is to examine the procedure for fistuography examination with clinical perianal fistula at the radiology installation of RSPAL dr. Ramelan Surabaya in producing optimal diagnostic information. This research was carried out at the radiology installation of RSPAL dr. Ramelan Surabaya with a qualitative method through a case study approach. Data collection was obtained by conducting direct observations, interviews with radiographers, and documentation. Data analysis was carried out descriptively through a comparison of the results of observations in the field with relevant theories. The results of the study related to the fistuography examination procedure with clinical perianal fistula were carried out without the patient's preparation, using a mobile x-ray unit, detector, iodine contrast media, syringes, and abocath, the examination technique used consisted of a preliminary photo with oblique projection, then continued with projection oblique and lateral post media contrast. There are no additional projections, as the results of oblique and lateral projections already provide the necessary diagnostic information

References

1. Kepala Badan Pengawas Tenaga Nuklir Republik Indonesia. 2020.

2. Sharma A, Yadav P, Sahu M, Verma A. Current imaging techniques for evaluation of fistula in ano: a review. Egyptian Journal of Radiology and Nuclear Medicine. Springer Science and Business Media Deutschland GmbH; 2020.doi:10.1186/s43055-020-00252-9

3. Khanduri S, Shahbaz M, Habib A, Singhal S, Aggarwal A, Kanojia A, et al. Seeing Beyond the Tract: The Superiority of 3 Tesla (3T) MRI Over X-ray Fistulography in Perianal Fistula Evaluation. 2025. doi:10.7759/cureus.93825

4. Hulmansyah D, Mutiara Zanisman P, Purnamasari D. Penatalaksanaan Teknik Pemeriksaan Fistulografi Dengan Klinis Fistula Perianal Di Instalasi Radiologi Rumah Sakit X Fistulography Examination Techniques With Perianal Fistula Clinic At Radiological Installation Of X Hospital. Medika Trada : Jurnal Teknik Elektromedik Polbitrada. 2024.

5. Sohrabi M, Bahrami S, Mosalli M, Khaleghian M, Obaidinia M. Perianal Fistula; from Etiology to Treatment - A Review. Middle East J Dig Dis. 2024;16(2):76. doi:10.34172/MEJDD.2024.373 PubMed PMID: 39131109.

6. Sandor M, Horgos MS, Borza IL, Negrean R, Botea M, Bimbo SE, et al. Laser Therapy in Perianal Fistulas. Applied Sciences 2022, Vol 12, Page 12433. 2022 Dec 5;12(23):12433. doi:10.3390/APP122312433

7. Adamczyk T, Kluczewska E, Waniczek D, Bożek P, Kozińska-Marek E. Perianal fistulas – diagnostic imaging techniques and their applications [Internet]. [cited 2026 Jul 25]. Available from: http://www.polradiol.com/fulltxt.php?ICID=893719

8. Hendra Kastiaji1 ZH. Fistula Perianal:Laporan Kasus [Internet]. Vol. 7. 2023 [cited 2026 Jul 21];7:1–11. Available from: https://journal.umuslim.ac.id/index.php/ltr2/article/view/1779/1347

9. Waniczek D, Adamczyk T, Arendt J, Kluczewska E, Kozińska-Marek E. Usefulness assessment of preoperative MRI fistulography in patients with perianal fistulas [Internet]. [cited 2026 Jul 29]. Available from: http://www.polradiol.com/fulltxt.php?ICID=882143

10. Liang C, Lu Y, Zhao B, Du Y, Wang C, Jiang W. Imaging of Anal Fistulas: Comparison of Computed Tomographic Fistulography and Magnetic Resonance Imaging. Korean J Radiol. 15(6):712–23. doi:10.3348/kjr.2014.15.6.712

11. Dr. Illuru Anusha, 1, LastName, Dr. J. Vamshi Priya, 2, LastName, et al. Role of conventional fistulography and magnetic resonance fistulography in pre-operative evaluation of fistula in ano - Journal of Rare Cardiovascular Diseases [Internet]. 2025 [cited 2026 Jul 25]. p. 1–9. Available from: https://www.jrcd.eu/article/view/role-of-conventional-fistulography-and-magnetic-resonance-fistulography-in-pre-operative-evaluation-of-fistula-in-ano-1169/

12. Kastiaji, H., & Hayati Z. Jurnal Ilmiah Sains, Teknologi, Ekonomi, Sosial Dan Budaya, 7(1). 2023.

13. Muhammad Sayuti, Sofia Rizka, Moh Arief Kresna. Karakteristik Dan Manajemen Pasien Dengan Fistula Perianal Di RSU Cut Meutia Kabupaten Aceh Utara Tahun 2018 - 2021. Jurnal Ilmu Kesehatan dan Gizi. 2023 Jun 29;1(3):165–71. doi:10.55606/jikg.v1i3.1422

14. Kawecki MP, Kruk AM, Drążyk M, Domagała Z, Woźniak S. Exploring Perianal Fistulas: Insights into Biochemical, Genetic, and Epigenetic Influences—A Comprehensive Review. Gastroenterology Insights 2025, Vol 16, Page 10. 2025 Mar 7;16(1):10. doi:10.3390/GASTROENT16010010

15. Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, et al. Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula. Dis Colon Rectum. 2016 Dec 1;59(12):1117–33. doi:10.1097/DCR.0000000000000733 PubMed PMID: 27824697.

16. Artiani Tresna Imut Exhasna1* BRSW, Syihabul Muttaqin1 RW, Pintaningrum1 2. Getting to Know More About Anal Fistula: A Literature Review [Internet]. Vol. 13. 2024 [cited 2026 Jul 21];13(3):1–7. Available from: https://journal.unram.ac.id/index.php/jku/en/article/view/4502/2811

17. Ardon CB, Molenaar C, van Straalen KR, Scholtes VC, Prens EP, van der Zee HH. High prevalence of hidradenitis suppurativa in patients with perianal fistula. Int J Colorectal Dis. 2019 Jul 1;34(7):1337–9. doi:10.1007/s00384-019-03313-2 PubMed PMID: 31093736.

18. Long, Bruce W. Rollins JHSB. Merrill’s vol 2 2016. 2016.

19. Lu MY, Wang J, Wang ZC, Cai ZL, Liang N, Shi R. Diagnosis and treatment for anal fistula: a systematic review of clinical practice guidelines and consensus statements. Front Surg. 2025;12. doi:10.3389/fsurg.2025.1566130

20. Włodarczyk M, Włodarczyk J, Maryńczak K, Waśniewska-Włodarczyk A, Doboszewska U, Wlaź P, et al. Role of Adipose Tissue Hormones in Pathogenesis of Cryptoglandular Anal Fistula. International Journal of Molecular Sciences 2024, Vol 25, Page 1501. 2024 Jan 25;25(3):1501. doi:10.3390/IJMS25031501 PubMed PMID: 38338780.

21. Adityan R, Jerald Paul I. The Role of Diagnostic Medical Imaging Techniques in the Evaluation of Perianal Fistula: A Review. International Journal of Radiology and Imaging Techniques. 2021 Dec 31;7(2). doi:10.23937/2572-3235.1510084

22. Rahmanita D. Penatalaksanaan Teknik Pemeriksaan Fistulografi dengan Klinis Fistula Perianal di Instalasi Radiologi Rumah Sakit Prima Pekanbaru. 2025 Jul 7.

23. Annisa N, Anggraeni A. Case Study of Fistulography Examination Procedures in Cases Perianal Fistula in the Radiology Installation RSUD DR. Loekmono Hadi Kudus. Journal of Indonesian Anesthesiology Nursing. 2024 Dec 1;1(1). doi:10.31101/JIAN.V1I1.3935

24. Kendrick JPLampignano dan LE. Textbook of Radiographic Positioning and Related Anatomy. ninth. amerika:Elsevier. In. 2018.

25. Azhari RA, Sulaksono N, Prastanti AD. Prosedur Pemeriksaan Lopografi dengan Klinis Suspect Colon Carsinoma

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Published

2026-10-08

How to Cite

Fistuography Examination Procedure with Clinical Perianal Fistula at Radiology Installation RSPAL Dr. Ramelan Surabaya. (2026). OVUM : Journal of Midwifery and Health Sciences, 6(2), 152-164. https://doi.org/10.47701/jtz82w34