Anyone had successful anal fistula surgery

Ok, I think I found the Fistula Flare up pattern for me!

If I go to gym for straight 5 days, it somehow irritates my fistula because I sit and do Shoulder press, biking etc., I see a painless pimple right at the same spot. It doesn't filled with abscess though, it is pinkish/purplish in color, less than a size of pea. Now I need to wait for it to pop open and drain fresh blood, then it takes about a week for the skin to close in that area. Since I originally had the abscess in 2010, I never had any problem for atleast 6 - 7 years. Now all of the sudden, it started every couple of months.

The question I have for everyone is, is it risky to leave the fistula without surgery? What are the consequences? did any of the doctor say anything if we leave it without any surgery?

is there antibiotics for anal fistula i sm a 37 m i am a diabetic person my sugar levels are always high never controlled i inject myself insulin every morning also i have high blood pressure that also is always high and drink pills for that to every morning i had a abscess back on 2002 it drained and healed but left a little wound now on 2017 it came back feels like a little lump under skin and leaks pus and a bit of blood threw that wound once in a while doctor says its a anal abscess but says i got to get surgery but i have heard so many bad things of anal abscess fistula surgery

A friend of mine had his fistula cored out at Stanford University Hospital. It worked well for him. Think he said they used something called Fixcision. It happened before they stopped non-essential surgeries and he is ok so far.

Long time reader, first comment. had Seton removed and fistula layed open last year. now, after about 12 months, another abscess has appeared. Taken antibiotics, but hasn't cleared. is it safe to puncture the with needle?

I just had my fistulotomy today and it literally took 9 minutes from the start of surgery to the end. They did not have to put me totally to sleep under general anesthesia, but used deep sedation like they do with a colonoscopy. But I still don't remember anything about the surgery. I am sore but not in any real pain. The surgeon also cauterized the tract to completely get rid of it. I had a seton in for 5 weeks prior to the surgery today. I have heard that natural healing rarely works after the fistula tract has formed. The surgery was quick and easy, and I suggest you get it done as soon as possible. I just wanted to get this thing repaired and be done with it. I can post an update in a few weeks about how healing went.

sharing my story... In January 2019 I noticed that I had a large lump in my butt cheek. It wasn't noticeable from the outside but it increasingly got larger and larger and pain increased. I went to the ER and they did a CT scan and could see that it was a large cyst and filled with fluid. I went to see a General Surgeon the next day who got me into surgery quickly to drain. Cyst was drained and a drain was placed and then eventually removed. No idea what had caused the internal cyst.... fast forward to March 2019. The spot they drained never healed. It was always leaking or bubbled up. The bubbling up became extremely painful. I couldn't barely sit without crying out in pain. I ended up going back to the surgeon who did the first surgery. He immediately sent me to be admitted and antibiotics started. They gave me vancomyacin, and my reaction to the antibiotic almost completely shut down my kidneys and I lost alot of blood during the surgery for the cyst. This is when the doctors did some exploring and found my perianal fistula. Stool was leaking into body which made me sepsis. I spent over a week in the hospital to get my kidney functioning up.

After recovering- May 2019 I had the colorectal surgery with one of the best colorectal surgeons here in Cincinnati. Doctor Labella did an overlap surgery. I will admit fully that this was the absolute pain I've ever been in. If I ran over on time for a oxycodone I was writhing in pain. Pooping was excruciating. So much that as soon as it came out I had to jump so fast in the shower and use the handheld jet sprayer to spray myself with warm water to relieve the pain. Scar tissue formed bad after a couple of months and my surgeon had to go back in to clear some of it because it was restricting my stool. I haven't had any issues since, thank God.

hi all. I was diagnosed with fitsula Jan 2020. I had a surgery August in Poland and all was looking good. Fistula turned out to be a simple case. Both exits outside and under the skin. Month ago doctor remove plastic seton and both exists closed completely. Unfortunately week ago I started noticing small abscess (I think, it looks like blood under the skin). Because of covid its becoming extremely difficult for me to continue my treatment in Poland. I am from Reading and looking for local private hospitals. Any information much appreciated.

Hey, I'd like to reply to this despite how long ago it was posted because I KNOW many of you out there were like me and absolutely furious that a small abscess that came out of nowhere (and was not your fault!) has caused you to have to have a surgery. I realized i had an abscess at the beginning of the pandemic and that was the absolute worse timing. its been a roller coaster and once we figured out I had a fistula, i had to wait almost 9 months to get surgery (due to only emergency surgeries being done at moment where i live). Meaning, ive been walking around with a small cut (where the abscess was) that leaked puss/felt tender and had to put gauze there everyday for NINE MONTHS. I'm 32. Active and in a relationship. its been tough to say the least. On top of it all, due to the 2 weeks of unnecessary antibiotics i was put on in the beginning and after the drainage, ive developed reoccurring Bacterial Vaginosis....so all in all, not fun. My mental health was taking a turn for the worse when my doctor finally managed to get me into a surgery a few days ago.

Now, I am AN-ABSOLUTE-BABY when it comes to surgeries. I was terrified of the surgery itself and the healing process after. But I'm here to say that it all went EXTREMELY well. One second i was talking to the doctor, the next i was in the next room recuperating. I was ready to go home within minutes of waking up haha. The pain killers have made it more than manageable and my biggest fear was to go #2 but it didn't really hurt!! Ive made sure to take the stool softeners and have added loaaaads of fiber to my diet.

I don't know what the future holds as I know these things can come back but I am looking forward to leading a normal life again.

The point is, do not delay surgery. The fistula will not go away on its own and it can always get worse. You do not want to live with this longer than you have to and i hope my small anecdote has helped you to realize the surgery is really a breeze. And i repeat, I am a big baby when it comes to hospitals.

And if you have to choose between local and general anaesthesia, go for general. I really wasnt into getting knocked out but they explained to me that due to my uncontrollable shaking, it might be better ahhaah anyways im really glad i did that instead of being awake for the whole nerve racking procedure. Like said, one second i was talking to the surgeon and the next i was being wheeled into the next room feeling a bit groggy but ok!

DO NOT allow fear take over your life. it truly is an easy procedure if its just a simple perianal fistula.

It's a scary thing to hear for sure! It depends on the type of fistula you have, where it is and what procedure you're getting.

What type do you have?

I have a low intersphincteric fistula but we've decided to not surgically intervene as my symptoms are minimal. I have spoken to 4 colorectal surgeons who have all said the same thing.

People will tell you that it will branch off, but my surgeons have told me that's quite unlikely if you don't have anything underlying.

Take care and don't google too much!

Hi all. Sorry to jump in but i just wanted to check if any of you had severe itching with fistula? waiting on diagnosis. looks like hemmoroids back there plus blood on tissue and roaring red rash but itching is in vagina too as well as rectum. have been thoroughly checked by gyn and nothing abnormal there. did have Bartholin cyst ages ago but not anymore. the itch is making my like miserable and I'm worried. Have appt next Wed with colo-rectal surgeon. Dreading it! x

Hi,

I had anal fistula for about 7 yrs . I only decided to have it checked again as my wife reminded me of it. While i have the fistula. I can do normal activities including exercises and other outdoor activities. Ive experienced minimal discharge during this period not really requiring a pad. I had my first surgery done about 2 mos ago by a general surgeon who was referred to me by a friend and she said that he is one of the best. A seton was placed and took like 5 days for me to be able to go back to work but i have to wear pad because of the constant discharge. I ate my normal diet but stayed away from oily food and less meat. The only hard part is my first bowel movement. After a month i have to go back to my doctor and was told that i need to go for another surgery as he will be doing an open wound kinda thing as my fistula is superficial. So after the second surgery, I dont have the seton anymore and i was told that no need to do dressings. I was s bit confused as i thought there will be an opend wound. So i continue to wear pads. After maybe 2 weeks i was suprised that the discharge stopped. I continued to check my pad day after day and there was no discharge anymore. I went back to my doctor for the post operation check that would be like 5 weeks after the surgery and he told me that fistula was conpletely healed. Now, i am just hoping it wont happen again so am watching my diet now. During the whole process the only discomfort is your first bowel movement. Surgery is not scary as you will be asleep during the process.