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Suggest Treatment For Anal Fistula
Hello, I am a 28 year old male that has been suffering from an anal fistula for the past 10 years. Its about an inch long and connects into my anus. To be completely honest its got me terrified, ive gone to multiple doctors and ive had to actually diagnose myself. Im not sure what caused it but I need some medicinal advice. do I need to see a proctologist? I understand any type of surgery in this area if not done by a professional in the field and it not enough research is done on the problem by a professional it could potentially cause me major problems. any advice is appreciated
Thu, 23 Jul 2015
Hi,
Welcome to health care magic.
If you have diagnosed your self about the fistula then still I advice you to see surgeon (proctologist) to diagnose correctly.
The definitive treatment is only surgical in case of anal fistula.
There are few different kinds of surgeries done in high anal fistula.
1) Some surgeons prefer to do in three stage, if the fistula is of ''High Type''.
The first stage is to colostomy to bypass the anus of the feces full of bacteria.
In second stage then they would Excise the whole fistula tract and restitch the internal sphincter.
In the third stage, Once this anal wound is healed colostomy is closed.
2) If the anal fistula is of ''low type'', this is a single stage surgery, where either the tracts is laid open to allow to heal or the tract is excised in to.
The complications of surgery are,
The biggest danger is incontinence- occurs only if the internal sphincter in inadvertently cut through and through. as a single cut, that no surgeon with the knowledge would do.
It is imperative that the biopsy is done before or after surgery as there is a chance to know if the primary reason is like tuberculosis or Crohns. There are chances of recurrence.
I have tried my best to make it as simple as possible and also hope this answers your query at least in part.
You should consult general surgeon for complete treatment.
Regards,
Welcome to health care magic.
If you have diagnosed your self about the fistula then still I advice you to see surgeon (proctologist) to diagnose correctly.
The definitive treatment is only surgical in case of anal fistula.
There are few different kinds of surgeries done in high anal fistula.
1) Some surgeons prefer to do in three stage, if the fistula is of ''High Type''.
The first stage is to colostomy to bypass the anus of the feces full of bacteria.
In second stage then they would Excise the whole fistula tract and restitch the internal sphincter.
In the third stage, Once this anal wound is healed colostomy is closed.
2) If the anal fistula is of ''low type'', this is a single stage surgery, where either the tracts is laid open to allow to heal or the tract is excised in to.
The complications of surgery are,
The biggest danger is incontinence- occurs only if the internal sphincter in inadvertently cut through and through. as a single cut, that no surgeon with the knowledge would do.
It is imperative that the biopsy is done before or after surgery as there is a chance to know if the primary reason is like tuberculosis or Crohns. There are chances of recurrence.
I have tried my best to make it as simple as possible and also hope this answers your query at least in part.
You should consult general surgeon for complete treatment.
Regards,
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