Anal fistula healing
Surgery is almost always necessary to cure an anal fistula. The surgery is performed by a colon and rectal surgeon. The goal of the surgery is a balance between getting rid of the fistula while protecting the anal sphincter muscles, which could cause incontinence if damaged. Fistulas in which there is no or little sphincter muscle involved are treated with a fistulotomy. In this procedure, the skin and muscle over the tunnel are cut open to convert it from a tunnel to an open groove. This allows the fistula tract to heal from the bottom up.
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After having surgery to remove an anal fistula, you should be able to move around and eat and drink after the effects of the anaesthetic painkilling medication have worn off. If the fistula is relatively simple to operate on, you may be able to go home on the same day as the surgery. However, if the fistula is complicated, you may need to stay in hospital for a few days or have further surgery to complete the procedure. After the operation you will need to wear a dressing over the surgical cut until the wound has healed. Your dressings will need to be changed regularly and you will usually be shown how to do this at home. However, you may need to visit the hospital or GP surgery so they can check how the wound is healing or change the dressing for you.
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Learn about our expanded patient care options and visitor guidelines. Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula.
You may be worried about having a bowel movement after your surgery. You will likely have some pain and bleeding with bowel movements for the first 1 to 2 weeks. You can make your bowel movements less painful by getting enough fibre and fluids, and using stool softeners or laxatives. Sitting in warm water sitz bath after bowel movements will also help.