Classification of Goh for Female Genito-Anorectal Fistula

Description

Goh reported classifications for fistulas of the female genital tract. These can help to standardize the description and management of affected patients. The author is from the Royal Women’s Hospital in Carlton, Victoria, Australia.

Parameters:

(1) distance from distal edge of fistula to the hymen, in cm

(2) maximum diameter of the fistula in cm

(3) additional features

Distance from the Hymen	Type
> 3.5 cm	1
2.5 to 3.5 cm	2
1.5 to 2.49 cm	3
< 1.5 cm	4

Maximum Diameter of the Fistula	Size
< 1.5 cm	a
1.5 to 3.0 cm	b
> 3.0 cm	c

Additional Features	Code
none or mild fibrosis	i
moderate or severe fibrosis	ii
post-radiation, malignancy, inflammatory disease, previous repair	iii

Each fistula is classified by concatenating the Type, Size and Code.

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Description

Specialty

ICD-10