fistula surgery - still problems

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Thanks for reading. I'll make this message relatively simple:

Male / age 48

2019 - Painful abscess in / near anus.

Got it checked out, and had surgery on this from a known anal surgeon.

2019 - pain never went away really. Went back in to have it looked at by above surgeon. Said that it has now become an fistula.

Early 2020 - Had fistula surgery. Doctor said that it went well, and I should recover without any problems.

Since then,I no longer have the pain that I had when the abscess was present, but I now have anal leakage. My butt is wet most of the time. It's not a good feeling. It's not feces, it's like a water that leaks out. At first I thought that it was coming out of possible another hole / fistula near my anus, but apparently it's not.

I went back to the same surgeon a few times for follow ups after the surgery, and the last 2 or 3 times, I mentioned to him about this. He thought that was really odd, and he feels bad that I am still having problems. He has "looked" at the surgery that he did, and says that the fistula is gone, and has not returned, and that his work looks really nice and that it has healed well. He mentioned also, that my muscles back there are working too ( as he had me flex them a few times ). He said that I should do strengthening exercises, and I have been doing those - but it has not seemed to have worked ( when you act like you're holding gas in for 10 seconds, and do this over and over )

He doesn't know why this is happening. Whenever I need to pee, I usually find myself dropping my drawers and wiping my butt, even though I didn't go #2, but just to have a sense of dryness back there.

Any thoughts about what I should do? It's been a year with this, and it doesn't seem like it's going to get any better...

Thank you for listening,

-Jeff

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4 Replies

  • Posted

    hey jeff, i had a fistulotomy two years ago and your symptoms were very similar to mine. that discharge is normal, think of it as a scab that is too wet and the skin cells die off. its the wound constantly trying to heal itself. i had bouts of pain and bleeding for almost a full year. talk to doctor if youre concerned though

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  • Posted

    Hi Gabe and Deontan,

    Sorry for the late reply. I was having trouble logging back on.

    So, Deontana - to answer your question: It's just fluid - like water secretions. I've had this for quite sometime, it's a nuisance. I feel the need to wipe, even when I haven't gone to use the bathroom. However, you've only had surgery 9 days ago ( when you wrote this reply ) - I wouldn't worry about that at all. Totally normal, but after more than a year - which is what I have going on - I'd be a little concerned.

    To Gabe - Thanks for your reply as well, but I think having 'leakage' for more than a year is a little unsettling. Specially when I have spoken to the doctors and they are puzzled to as to why this is happening. I'm trying to do the floor exercises, strengthening the muscles down there, but so far no change. How long did you have leakage for?

    Thanks for your replies,

    -Jeff

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