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Doctor insights on: Is Surgery For An Anal Fistula More Painful Than Just Leaving The Fistula 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

Dr. Ronald Krauser
4 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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Hello I have a multiple opening Anal fistula for 3 years but I am to much afraid to do the surgery because of the pain how painful is the post surgery?

Hello I have a multiple opening Anal fistula for 3 years but I am to much afraid to do the surgery because of the pain how painful is the post surgery?

Truth be told: Many many patients of mine have commented that the post operative fistula removal period is a good deal LESS than the ongoing pain when the fistula is "full"

Hope this is helpful
Dr Z ...Read more

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How long will I be out of work after surgery for an anal fistula?

How long will I be out of work after surgery for an anal fistula?

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. ...Read more

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My husband has had surgery 4 xs for an anal fistula and will need a 5th, is this common?

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. ...Read more

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Are any follow-up treatments needed after anal fistula surgery?

Are any follow-up treatments needed after anal fistula surgery?

Surgeon office exam: Evaluation by your surgeon after surgery to be sure that the area is healing properly would be sufficient. There is a low chance of fistula recurrence after the first surgery, depending on the size, depth, and location of the fistula, and what type of surgery was performed. ...Read more

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Please tell me, could anyone tell me the best treatment for anal-fistula. I have already gone through a surgery, but no result?

Surgery: Is the best treatment and although occassionally fails and requires repeat procedure, if done correctly has an excellent result. Numerous types of fistula surgery are out there depending on the location of the fistula and experience of the surgeon. See a colon and rectal surgeon or at least get a second opinion from one. ...Read more

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After surgery of anal fistula do masturbation have effect on healing on males?

You're fine: It won't interfere with healing. I'm sorry you went through the trouble of an anal fistula. ...Read more

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After surgery of anal fistula do masturbation have effect on healing on males?

After surgery of anal fistula do masturbation have effect on healing on males?

Not particularly: Masturbation isn't likely to help healing. But if you have a very "vigorous" or intense habits that place excessive tension on the anorectal area, there is some small chance it could be harmful. ...Read more

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I had a surgery for anal fistula november last year and some plastic threads was put inside of me to serve as drains. It still drains, what do I do?

Anal fistula: Anal fistula still draining need professional surgical evaluation go to your surgeon or a colorectal surgeon now and you will find a possible solution no blog can solve your problem you need to examined. ...Read more

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I had an anal fistula surgery and have a rash there now. Is it better to put Vaseline/linecaine on it at night or let it breath?

I had an anal fistula surgery and have a rash there now. Is it better to put Vaseline/linecaine on it at night or let it breath?

Rash: It depends on the cause of the rash. If it is a fungal rash, you may need nystatin written as a prescription. Otherwise, a barrier cream like zinc oxide and air are best for rashes down there. ...Read more

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Had surgery at my butt due to anal fistula injury in 2008. Fully healed. Why does old scar hurt periodically? Notice it happens if scar rubs clothes

Had surgery at my butt due to anal fistula injury in 2008. Fully healed. Why does old scar hurt periodically? Notice it happens if scar rubs clothes

Normal: Scar tissue is not as elastic as normal skin and the epidermis may be thinner making it more easily irritated as you have found. Protect the scar from injury. These sensations lessen with time but it can take years and it may never be like normal skin. ...Read more

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Is there any herbal treatment for anal fistula abscess I had surgery but my it never healed thanks in advance?

Is there any herbal treatment for anal fistula abscess I had surgery but my it never healed thanks in advance?

The treatment for: An anal fistula is surgery. Surgery can be feom simple incision and division to requiring multiple procedures. Recurrence after a fistula surgery is rare but not uncommon and again depends on the complexity. Please check with your surgeon if you have similar symptoms as prior to surgery. There is no herbal treatment for it. ...Read more

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I have an anal fistula. It is currently not draining or infected. I am scheduled for surgery in 6 weeks. Can I go swimming in the ocean or pool?

I have an anal fistula. It is currently not draining or infected. I am scheduled for surgery in 6 weeks. Can I go swimming in the ocean or pool?

Yes, maybe: If it is not draining or infected it is likely that the lining has formed and is not a problem currently. It should be okay to go swimming however going swimming in the ocean would risk having bacteria from the ocean infect it. I would also limit the amount of time you spend. ...Read more

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I had two surgeries from anal fistula and has been cured. It hurts when I sitting down on bike or exercise. What I do?

It depends. ..: Fistula surgery can be simple to complex. Postop course depends on the extent and complexity of the surgery. Pain can be a part of recovery depending on when was the surgery. Healing can take 8-12 weeks. With the history of 2 fistulas, check with your surgeon to make sure that you are not developing another disease. Scar tissue can also cause discomfort specially after sitting on hard surfaces. ...Read more

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Have anal fistula for 16 yrs. 10 surgeries haven't fixed it. No ibd or health issues. Looking at bowel resection. Opinions please.....

Have anal fistula for 16 yrs. 10 surgeries haven't fixed it. No ibd or health issues. Looking at bowel resection. Opinions please.....

Seek experienced Drs: If you haven't already, seek a colorectal surgeon who has seen and dealt with these complex problems.
Mri's can sometimes identify other branching points or tracts.
If your current symptoms aren't too bad, living with the condition is an option. Seton's can help drain and minimize the baseline state.
In extreme situations, bowel resections are worth it and do have happy and satisfied patients. ...Read more

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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 can cause a vaginal anal fistula? How is it treated and is it harmful to leave untreated?

What can cause a vaginal anal fistula? How is it treated and is it harmful to leave untreated?

Trauma: The most common cause would be from traumatic child birth but it can also happen from other vaginal or anal trauma or from some inflammatory bowel conditions. It is treated surgically by removing it and re closing the tissue around it. If not repaired you are at increased risk of vaginal infections. ...Read more

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I have a flat, firm and painful area around the external opening of my anal fistula. When I press on the area it hurts? What could it be?

I have a flat, firm and painful area around the external opening of my anal fistula. When I press on the area it hurts? What could it be?

Anal abscess.: You need to see a colo-rectal surgeon or your GI MD.
Yo may need a CT abd/pelvis with rectal contrast...you may have a perianal abscess.
Sometimes a simple incision/drainage + antibiotics may solve the issue rapidly. ...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!

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 packing required after an anal fistulotomy. My docter said I have an anal fistula after my abscess healed. With the abscess, packing was very painful?

Sometimes: Packing is necessary to "clean out" the area and allow for draiinage after healing begins!


NOT TO WORRY. ..sounds "normal" for this procedure!
Hope this is helpul!
Dr Z ...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