Fistula Surgery: Is My Condition Recurring? - Surgery

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Recurrence after laparoscopic surgery?


Hello doctor, I underwent fistula surgery on September 3rd, and it has been almost two months now.
I have been taking sitz baths three times a day, but I am still experiencing yellow, thick discharge from the anus.
Could this indicate a recurrence of the fistula? I am quite concerned.

Lin Xiansheng, 30~39 year old female. Ask Date: 2017/10/23

Dr. Xu Kaixi reply Surgery


I apologize for the delayed response due to the email forwarding process.
In theory, surgical wounds typically heal within two to three weeks.
If there is still discharge from the surgical site three months post-surgery, it is advisable to return to the original surgeon's clinic for further evaluation to check for possible issues such as infection or recurrence.

Reply Date: 2017/10/23

More Info


Understanding your condition after fistula surgery can indeed be concerning, especially when you notice symptoms like a yellow, viscous discharge from the anal area. It’s essential to differentiate between normal healing processes and signs of potential recurrence of the fistula.

Firstly, it’s important to recognize that after fistula surgery, some degree of discharge can be expected as part of the healing process. The body is working to repair the tissue, and this can involve the secretion of fluids. However, the characteristics of the discharge can provide clues about what is happening.

1. Normal Healing vs. Recurrence: In the initial weeks following surgery, it is common for patients to experience some drainage as the surgical site heals. This drainage can be clear or slightly yellowish. If the discharge is accompanied by a foul odor, increased pain, or swelling, these could be indicators of infection or recurrence.
2. Color and Consistency: The yellow, viscous nature of the fluid you describe could be a sign of normal healing, particularly if it is not accompanied by other concerning symptoms. However, if the discharge persists beyond the expected healing time or changes in color (becoming more purulent or foul-smelling), it may warrant further investigation.

3. Follow-Up Care: It’s crucial to maintain regular follow-ups with your surgeon or healthcare provider. They can assess the surgical site and determine if the discharge is a normal part of healing or if it indicates a complication. They may perform a physical examination and possibly imaging studies to evaluate the fistula tract.

4. Sitz Baths: Continuing with sitz baths is a good practice as they can help soothe the area and promote healing. Make sure to keep the area clean and dry after baths to prevent any potential infections.

5. Signs to Watch For: Pay attention to any changes in your symptoms. If you experience increased pain, fever, or if the discharge becomes more pronounced or changes in odor, it’s essential to seek medical attention promptly. These could be signs of an infection or a recurrence of the fistula.

6. Psychological Impact: It’s understandable to feel anxious about the possibility of recurrence, especially after undergoing surgery. Consider discussing your concerns with your healthcare provider, who can provide reassurance and guidance. They may also refer you to a counselor or support group if you find that anxiety is significantly impacting your quality of life.

In summary, while some discharge can be normal after fistula surgery, it’s essential to monitor the characteristics of the discharge and any accompanying symptoms. Regular follow-ups with your healthcare provider are crucial for ensuring proper healing and addressing any concerns you may have. If you have any doubts or if your symptoms change, do not hesitate to reach out to your healthcare provider for further evaluation.

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