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Doctor insights on: Treating Anal Fistulas

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Are there several different procedures for treating anal fistulas?

Are there several different procedures for treating anal fistulas?

Anal Fistulas: Yes. Fistula are treated by evaluation under anesthesia, anoscopy, digital exam and proctoscopy. The first step is to determine the locations of the internal and external openings of the fistula, the amount of sphincter involved, the number of tracts, the association with the urethra or vagina, and drainage of any abscesses.Ttreatements include fistulotomy, advancement flap, and fistula plug. ...Read more

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Dr. Mark Ingerman
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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Is there a non surgical procedure for anal fistula?

Is there a non surgical procedure for anal fistula?

Not really: There are some fistula plugs that can be used, and while it is technically "surgery", it can be way less invasive because the fistula tract is scraped, then the plug inserted. There's also something called a Seton that can be used for a while, that helps in some situations. See a colorectal surgeon for a proper evaluation and ask about these things. Hope this helps! ...Read more

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How soon after a lay open anal fistula procedure can I start running and lifting weights?

How soon after a lay open anal fistula procedure can I start running and lifting weights?

Ask surgeon: Everyone heals differently and has different recovery periods based on their personal and unique condition/body. This would be best answered by the surgeon. Call him and ask the question, they should be happy to provide you with the best answer for your specific condition post-op. Good luck. ...Read more

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What procedures are safe when diagnosing a pregnant woman for an anal fistula?

What procedures are safe when diagnosing a pregnant woman for an anal fistula?

Surgery in Pregnancy: All surgery in pregnancy carries a higher risk due to the changes in physiology. Depending on which trimester a women is in dictates what those risks are (first means loss of pregnancy, third is pre-term labor). If possible I would suggest waiting until after delivery to have the fistula dealt with. Since this is not a life threatening issue it is the best choice. ...Read more

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Can i exercise with an anal fistula?

Can i exercise with an anal fistula?

Sure: Exercise is unlikely to change the course of an anal fistula. If you have an anal fistula, you should have it corrected by a board certified colorectal surgeon, but exercising is not likely to make your situation any worse (though the fistula may make the exercise uncomfortable). ...Read more

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How much a lasser cirugy an anal fistula?

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

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What happens if an anal fistula is untreated?

What happens if an anal fistula is untreated?

It continues: An anal fistula will continue to fester, leaking pus and blood every few days, until it is fixed. The fix depends on the course of the fistula through the anal sphincter. There is a small risk of cancer if a fistula is left for many years. ...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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Can you please tell me what causes an anal fistula?

Can you please tell me what causes an anal fistula?

Infected anal gland: the most common cause if an infected gland near the anus typically due to obstruction of the gland. Thus results in a small abscess. The abscess needs to drain to prevent you from becoming sick. It does this by finding a path to release to release the puss. The pathway is typically to the adjacent skin near the anus. In rare circumstance fistulas can be the result of Crohnes or cancer. ...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