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8%) had glue. At month 12, overall fistula closure was achieved in 35 of the evaluable 58 patients (60%) 18/32 (56%) in the surgery group and 17/26 (65%) in the control group (P=0.479). In the closure group, fistula closure was observed in 13/25 (52%) and 5/7 (71%) patients with complex and simple fistula respectively (P=0.426), compared with 12/18 (67%) and 5/8 (63%), respectively in the control group (P=1.00. Seton removal alone seems to be no more effective than a secondary surgical step (in particular glue injection) in patients ha