Doctor insights on:
Cutting Seton In Fistula Surgery
Seton takes time: To cut through, may take 8 Wks or little more, is very good technique, less chance of recurrence, and flatus incontinence
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
Sure, it's surgery: Any surgical procedure has inherent risks, including possible infection, bleeding, sedation/medication issues, possible damage to nearby tissues including nerves, etc. Discuss the details with your surgeon.See 2 more doctor answers
Yes: Yes.Get a more detailed answer ›
Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning.
Rare condition: Ureter runs into the bladder. Ureterovesical fistula has to be between the intrvesical ureter and bladder & is usually a complication following ureteral reimplant surgery. Procedure for repair is a redo ureteral reiplant excising portion of ureter distal to the fistula. This often requires a so called "boari flap", bringing up flap of bladder to shorten length of ureter needed for reimplant.
Anal Fistula: Anal fistula should usually be addressed. Normally this is done with surgery. In patients with crohns disease, sometimes asymptomatic fistulae do not require treatment. Otherwise not treating a fistula can leave one at risk for infection, abscess, life threatening infection, and over a period of years, possibly cancer developing in the fistula tract.See 1 more doctor answer
Very successful: A fistulogram is done to identify the tract so that it can be repaired completely.
Fistula abscess surgery cant take the pain anymore 10 days after surgery no medic or drug help me I want tu suscide cant take it please help?
Call: Call your doc. This is a painful surgery. Ask what they suggest. If necessary. Go to ER, especially if suicidal thoughts.
Fistula surgery 5.6.17 fistula healed from top to the anal hole there's a small hole left else is closed up and looking good how long to fully heal?
Check With Doctor: The surgeon (or a nurse in the office) should be able to answer this. Generally, the doctor will want to see you for follow-up after most any surgery anyway. The surgeon knows what s/he had to do to correct the fistula and can best judge how long it should be until full healing occurs.
I have 3 post surgical fistulas. Surgery was 9-22. What are my chances of them eventually collapsing? I have bowei drainage coming from the top gfistula.
Complex question: Fistulas are a dreaded complication of surgery; if the output is low (less than 500ml per day) then there is a reasonable proability that they will close without requiring further operation.See 2 more doctor answers
Depends on fistula: Typically a fistula is a draining tract (stream) usually from infection. If this is the case they would be wanting to get to the source of infection, remove it then close up the area they needed, to open, to access the infection.
Nothing is 100%: Hemorrhoids and/or fistulas can be relatively easy or complex. When combined, they can present a complicated repair. Please seek a colorectal surgeon, who will be able to discuss all your options. However, if you run across a surgeon who offers 100% success, get up, walk away, and seek another professional. You never get 100% success or safety, in anything. Good luck.
To some degree: Urinary fistulas are the result of underlying disease, like diverticulitis, crohns disease, or even, unfortunately, cancer. How uncomfortable the post op course is dependent on the degree of surgery required, and whether it is laparoscopic or open. But, don't worry, prudent use of antiinflammatory agents and narcotics make it bearable. Good luck.
Ussually not: Depends on the size of the fistula and what's coming though. But inpatient cases you need surgery to repair it.
Really depends: Erika - there are several surgeries for anal fistula. Your recovery really depends on not only what exact procedure you have, but also your tolerance for pain, and how important it is for you to be back at work. I've seen a range from the same afternoon to three to four weeks.See 1 more doctor answer
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.See 1 more doctor answer
Maybe: Proper surgery needs to find internal opening the first operation.See 1 more doctor answer
Not common: But not rare. Depends if the fistulas are in the exact same place and how they were treated surgically, how complex the fistulas were and whether the correct surgery was performed. Fistulas can recur if incompletely treated at the time of surgery. See a colorectal surgeon for more complex fistulas as your husband has. Also consider whether he has been tested for crohn's disease.
A friend of mine did surgery to remove fistula from her rectum and after this surgery it just keep bleeding isn't this dangerous?
Bleeding: All bleeding comes to an end at some point. But your friend likely doesn't want to wait that long, and it could be dangerous over time. The body needs blood for several important functions. If the bleeding truly doesn't stop, she should call her surgeon tonight. It might take a little cautery to stop the bleeding.