Recurrent fistula-in-ano significantly affects the patients' QOL, and also, successful surgery results in significantly improved long-term QOL. This improvement shows the need for those patients with fistula-in-ano to be subjected to further surgery despite the possible risk of anal incontinence.

Background Morbid jealousy includes a range of irrational thoughts and emotions, with associated unacceptable and abnormal behaviour. Common forms of psychopathology are delusions, obsessions and overvalued ideas. Aims To determine the prevalence of morbid jealousy in psychiatric inpatients, describe the different phenomenological forms, and range of associated behaviours. Methods All inpatients treated at University Psychiatry Unit, NHSL during a three month period were examined. Those who had 'morbid jealousy' were evaluated regarding psychopathology, emotions and associated behaviours. Results Of 145 patients admitted during the study period, 76 were in a intimate relationship. Of these, 35 (46.05%) were male. Mean age was males 49.6 years, females 42.72 years. Commonest diagnoses were schizophrenia (22.36%), unipolar depression (19.73%), alcohol problems (17.10%), and bipolar mania (15.78%). Morbid jealousy was identified in 13 (9 male, 4 female). Overall prevalence was 17.10% (95% CI 8.64%-25.56%). The psychopathology of morbid jealousy was overvalued ideas (n=7, 53.84%), delusions of jealousy (n=4, 30.76%) and obsessional (n=2, 15.38%). Associated behaviours included verbal accusations (n=13), interrogations (n=12), checking (n=11), stalking (n=5), threats/ acts of violence (n=8), increased demands for sex (n=4) and excessive demonstration of love (n=2). Conclusions The prevalence of morbid jealousy is high in psychiatry inpatients in Sri Lanka.

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