Hi,

Thanks for writing to us.

Fistula in ano is treated surgically to achieve best possible outcome. Medical management is restricted and allows only symptom control. Definitive cure cannot be achieved by medical management alone. You should get yourself examined by a surgeon and get surgical treatment done as advised by your doctor.

As you plan for surgery, conservative/medical management that include antibiotics to prevent infection, stool softeners, local anaesthetic gels and anti-inflammatory measures can be followed to relieve symptoms. If pus collection is present in addition to the list of medical management list, you will need drainage.

Therefore I would recommend consulting a surgeon nearby.

I hope this is useful to you. If you have any further query, I will be happy to help.

Regards

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Hi,

Surgery is the only definitive management of fistula in ano. There are no clear evidences that other modalities of treatment can cure the problem; there is always a possibility of recurrence.

I understand your concern. After surgery, wound healing takes some time. Here in fistula it takes about few weeks for full healing. However no other type of treatment gives you the best benefit and also reduces the chances of recurrence than surgery.

Dressing is must for proper healing of wound and for assessment of pus drainage, if any. Though the process is time taking, but if followed as advised by the surgeon, it is beneficial.

Hope this answers your query. If you have any further doubts, please post your query.

Regards

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