An incision is made, which opens the entire length of the fistula, allowing the tract to heal from the inside out. This often involves the insertion of a drainage thread (seton) to facilitate complete drainage of any infected fluid.Ī fistulotomy is the most popular choice for straightforward low fistulas. The first stage of any treatment is to ensure that the collection around the fistula is draining effectively and then every effort is made to simplify the path of the fistula to render it in an optimal state for closure. The choice of repair surgery for anal fistula depends on several factors, including the complexity and location of the fistula. There are various surgeries available to treat anal fistula. It can also result in pain, swelling, itching, and discomfort during bowel movements.
The most common symptom is the presence of a persistent, pus-filled discharge from an opening near the anus.
Fistulas can occur in different positions around the anus, such as in the anal canal itself, near the anus, or in the buttock crease. They can have one or multiple openings, and their course may be straight or branched. Following this, the external wound does not heal but continues to discharge brown/yellow offensive fluid.Īnal fistulas can vary in size, depth, and complexity. Often the first sign of a problem is the development of an abscess around the anus which may spontaneously drain or need surgical attention. When an infection develops, it creates a passageway for fluid and pus to drain, which leads to the formation of the fistula. It often occurs as a result of an infection or abscess in the anal glands or nearby tissues.
ANAL INCONTINENCE WITH AN ANAL TUNNEL PLUG SKIN
Mr Andrew Brian Williams, a general and colorectal surgeon with a special interest in anal fistula explains everything you need to know about the condition, including treatment options.Īn anal fistula is an abnormal connection or tunnel that forms between the anal canal (the last part of the intestine) and the skin surrounding the anus. An anal fistula is something which causes discomfort, pain and embarrassment for those affected.
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