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What causes a fistula? After an abscess has been drained, a passage may remain between the anal gland and the skin, resulting in a fistula. If the gland does not heal, there will be persistent drainage through this passage. If the outside opening of the fistula heals first, a recurrent abscess may develop.
The lack of blood flow causes this delicate tissue to die, and where it dies holes are created between the laboring motherâs bladder and vagina and/or between the rectum and vagina. This is what produces incontinence in a fistula patient.