MORPHOLOGICAL AND AGE-RELATED CHARACTERISTICS OF COCCYGEAL FISTULAS: A THREE-YEAR CLINICAL OBSERVATION

Abstract

Coccygeal fistulas represent a heterogeneous group of congenital and acquired lesions, differing in etiology, morphology, and clinical outcomes across age groups. This study analyzes morphological types, diagnostic approaches, and treatment responses among patients treated at the Fergana branch of the Republican Research Center for Emergency Medicine (RRCEM) from 2022–2024. Twenty-eight patients (infants, adolescents, and adults) were evaluated using clinical examination and selective MRI. Surgical management remained predominant, with minimally invasive techniques benefiting pediatric cases, whereas modified excision reduced complication rates in adults. Conservative therapy proved effective mainly in infants with perianal pathology. The findings support age-specific diagnostic and therapeutic strategies to reduce recurrence and improve outcomes.