Common "Fistula Surgery" queries answered by top doctors | iCliniq

Fistula Surgery

An unusual connection between two body parts is called a fistula, which can be treated with antibiotics if minor in rare cases, or surgical intervention is required. Surgical correction for fistula involves fistulotomy and seton surgery. Fistulotomy is characterized by opening up of the fistula, thereby allowing it to heal. In seton surgery, a thin surgical thread is placed inside the fistula to drain the infection and aid in healing.

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Does perianal wetness indicate incomplete healing of fistulotomy surgery?

Query: Hello doctor,I am a 29-year-old female. I suffered from abscess when I was eight and a half months pregnant. After three months, it was diagnosed as fistula and gone under fistulotomy operation. Since the past few months, I feel some wetness in the perianal area. And today, I saw a blood spot on the...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. After reviewing the information shared and your pictures (attachment removed to protect patient identity), a few things come to mind. Wetness in the perianal area and itching are because of the small amount of seepage of stools around the anus. This stool causes irritatio...  Read Full »

I had undergone six surgeries previously for fistula and now I have perianal abscess. Kindly help.

Query: Hi doctor, I am a 48-year-old male. My height is 170 cm, and my weight is 89 kg. Around two and a half years ago, I started having the symptoms of abscess and pus around my anal area. So I went to the hospital, and the doctors said it was a fistula and needed surgery. For the past 11 months, I have ...  Read Full »


Dr. Kaushal Bhavsar

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Can you send me a picture of the MRI (magnetic resonance imaging) report? Was any bacterial culture done? Please answer the above-asked questions so that I can guide you better about the medicines and investigations. I wish you good healt...  Read Full »

What is the treatment for carotid-cavernous fistula?

Query: Hello doctor,My mother has a carotid-cavernous fistula.1. Can we cure this condition through surgery? 2. What are the risks of the surgery?Kindly help.Thank you.  Read Full »


Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. Generally, carotid-cavernous fistula (CCF) is two types: direct carotid-cavernous fistula and dural carotid-cavernous fistula. Direct carotid-cavernous fistula requires intervention as complications are more common and...  Read Full »

I underwent surgery for an oroantral fistula a month prior, as well as an extraction where I had pus discharge. Should I be concerned about the pain?

Query: Hello doctor, I had oroantral fistula surgery one month before. Some important information: They pulled the tooth, and told me it is good. But the socket did not heal, there was pus, and I was in pain. After six weeks after the extraction, I went to an oral surgeon and he was in shock, that the den...  Read Full »


Dr. Achanta Krishna Swaroop

Answer: Hi, Welcome to icliniq.com. The pain had not subsided yet, right? I will be prescribing you accordingly. Thanks and regards.  Read Full »

Does anal fistula require surgery?

Query: Hello doctor, I am a 27 year old male. I am suffering from anal fistula for the last four years. I get pain in the anal region because of this. I just wanted to know whether this will affect my sexual strength. I am feeling difficult to get a good erection also. I have done a scanning and I am going...  Read Full »


Dr. Salah Saad Hassan Shoman

Answer: Hi, Welcome to icliniq.com. The primary curative approach for fistula typically involves surgical intervention, as only a small number of anal fistula cases resolve spontaneously. Prior to the surgery, an examination under anesthesia might be necessary to determine the optimal surgical strategy for...  Read Full »

Why do I have fecal matter coming out of my vagina?

Query: Hello doctor, I am 88 yrs old. I have a rectal or vaginal fissure, I guess. The fecal matter comes out of my vagina. Sometimes, I have a regular movement but still have a liquid form from the vagina. I do not want surgery. What can I expect for the short term of life? I probably have left if I do no...  Read Full »


Dr. Sujata Mittal

Answer: Hello, Welcome to icliniq.com. It is very sad to know about your condition. I can understand how, at the age of 88 years, you feel and suffer. But foremost, you need to get examined by your gynecologist. If it is a rectovaginal fistula, the only way to provide relief is by a minor surgery called a...  Read Full »

What causes a stinging sensation inside the rectum?

Query: Hi doctor, I am a sailor and have been sailing for the past eight months. I had fistula surgery last year. MRI reports also said that hernia is detected on the left side. Around one month ago, I started to have bloating sensation, especially after meals. I consulted a doctor, and he diagnosed it as...  Read Full »


Dr. Anushtup De

Answer: Hi, Welcome to icliniq.com. I understand you have multiple problems, so that I will address them one by one. 1) Stinging sensation in rectum - Kindly tell what type of surgery you underwent for the fistula. If it is an open surgery, sometimes it takes a longer time to heal completely. After any surg...  Read Full »

Is it normal to have pus discharge after fistulotomy?

Query: Hello doctor, I had a fistulotomy four days ago, and I have noticed a small yellow lump next to the site. What does this indicate? Should I be concerned? Kindly help.  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. I have seen both of your pictures (attachments removed to protect the patient’s identity). It looks like a normal healing surgical wound. Additionally, I hope you are following the advice regarding Sitz bath properly. Keeping the area clean is very important for prop...  Read Full »

When can I return to my regular physical activities after the fistulectomy?

Query: Hi doctor, I have undergone fistulectomy and right now in bed rest. I am taking sitz bath, three times a day with Betadine solution and then Betadine cream. Also, I am on antibiotics. I am a working in IT sector and my work requires a sitting time of 8 hours approximately. So, when can I go ba...  Read Full »


Dr. Rahul Goel

Answer: Hi, Welcome to icliniq.com. Fistula-in-ano is a chronic and debilitating illness. I must first congratulate you for getting it operated. After the surgery, you can resume your routine work after two week's time. This will allow the operated site to heal properly. You can start sports after a month. ...  Read Full »

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