Patient's Query
Hi doctor,
Is it good to do seton surgery for anal fistula?
Hi,
Welcome to icliniq.com.
Seton surgery is a piece of surgical threat that helps to drain the anal fistula. It promotes healing. Please mention whether you have done the surgery.
Patient's Query
Thank you doctor,
I am going to do surgery next week. Will it cause pain?
Hi,
Welcome back to icliniq.com.
They give you general anesthesia that means that you will be sleeping during the procedure. After the surgery, the wound is covered with a lightly padded dressing. Usually, one procedure is done but in some cases, more than one time is required and it is done after a few weeks. The fistula may continue to drain and so you may feel uncomfortable at that time. You can take oral pain killers and stool softeners.
Patient's Query
Thank you doctor,
The doctor told me that seton will be there for six weeks and after that, surgery is done. Will seton does not heal the anal fistula?
Hi,
Welcome back to icliniq.com.
Seton is basically a silicone string and it allows the fistula to drain. It helps to heal the fistula. It involves a multi-step process where it helps healing and it is adjusted or replaced with a new one when there is a disturbance.
Patient's Query
Thank you doctor,
The doctor told me that he is not planning to do surgery after six weeks of seton.
Hi,
Welcome back to icliniq.com.
An anal fistula is caused due to an infection or collection of pus around the anal canal. Sometimes, it seems to be a simple fistula where there is a single channel that makes the connection between the skin and rectum. Sometimes it can have multiple branches and it goes through the surrounding muscles. I am not sure about your health condition. If you are uncomfortable, then you can ask your surgeon for other options. You can also get a second opinion from another surgeon. Usually, it is treated by doing surgical correction and in untreated cases, there are complications such as stool incontinence and infection or abscess. It requires immediate surgery and causes the spread of infection in the body. I suggest you get a second opinion from another surgeon to know your concern.
Patient's Query
Thank you doctor,
It seems to be a transsphincteric fistula. I read about nonsurgical fibrin glue. Please suggest.
Hi,
Welcome back to icliniq.com.
This type of fistula is corrected by doing surgical correction as it involves a sphincter. If left untreated, it can cause leakage of stools. Glue can be used. It drains the infection and it is given under local anesthesia. But it depends on the extension of the fistula. You should discuss this with your surgeon.
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Answered byDr. Sadaf Mustafa
Medically reviewed byDr. K. Shobana
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