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Doctor insights on: Anal Fistula Painful Alone

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Is surgery for an anal fistula more painful than just leaving the fistula alone?

Is surgery for an anal fistula more painful than just leaving the fistula alone?

No: Typically a fistula is a chronic inflammatory "tunnel" between the anus and the skin. There are many types, many treatments, and the most common surgery involves literally "filetting" open the tract to allow it to heal by itself, and thus obliterate the tunnel. This is somewhat painful, but offers the advantage of removing the chronic, longstanding focus of inflammation and pain, and so is usual. ...Read more

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Dr. Tanya Russo
3 doctors shared insights

Anal Fistula (Definition)

An anal fistula is an abnormal connection or tract that connects the inside lining of the colon or rectum with the outside skin. It intermittently drains pus and can cause discomfort, pain, itching, and other symptoms. It most commonly occurs as a consequence of an abscess in the same area. This may require outpatient surgery ...Read more


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I have an anal fistula. What medical treatment should I follow until i get operated in one month? It is painful at the moment!

I have an anal fistula. What medical treatment should I follow until i get operated in one month? It is painful at the moment!

Recurrence of absces: If the external opening closes the discharge will accumulate and cause a recurrent abscess. Take sitz baths and the external openining might have to be opened up again. ...Read more

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Is it okay to leave an anal fistula untreated for a year, or will it get bigger?

Is it okay to leave an anal fistula untreated for a year, or will it get bigger?

Unsafe: It won't get bigger, but may branch and make fixing it (surgery) much more complicated! it also might plug up and cause a very painful abscess, thus making you regret getting it taken care of promptly! ...Read more

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What happens if an anal fistula goes untreated for a year?

Abscess: An anal fistula is a connection from the inside of the anorectal area to the outside. This will cause soiling and infection. If left untreated it will lead to perirectal abscess formation and sepsis. ...Read more

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If I had an anal fistula what would be the exact symptoms and would they become more obvious after I had just been to the toilet?

Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as an outward bulging. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. Evaluation is recommended to distinguish serious versus less concerning reasons for your problem before treatment. ...Read more

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What happens if an anal fistula is not treated?

Drainage, Abscess: Failure to correct an anal fistula generally leads to persistent drainage, recurrent peri rectal abscesses and gradual fibrosis of the anal sphincter. Correction of anal fistulas is generally indicated. See a board certified colorectal surgeon. Some fistulas are simple, but some are very complex. ...Read more

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How much a lasser cirugy an anal fistula?

Hmmm: If you are asking what the cost of laser surgery to treat an anal fistula might be, I can't help you. But I can tell you that treating an anal fistula with laser surgery would be rather unorthodox. ...Read more

Fistula (Definition)

A fistula is an abnormal connection between two places. Most commonly, it originates somewhere in the intestine and communicates to another location in the intestine or in the skin. A fistula can develop after abdominal surgery, with inflammatory bowel disease, cancer, anorectal abscess, and ...Read more


Anus (Definition)

The anus is the opening of the rectum, through which stool and flatus are passed. The anal canal is about an inch in length, and is ...Read more