Concerns About Delaying Surgery for Anal Fistula: What to Expect - Surgery

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I would like to ask?


I have an anal fistula and my surgery date is already scheduled.
Since I am still a student, I asked the doctor to perform the surgery during the summer break.
It has been 2 months since my first episode, and I would like to know if delaying the surgery could lead to any complications or worsen my condition.
I am quite worried because I have been feeling something unusual with the wound lately, and I am concerned it might be related to pus.
I am unsure if I should see the doctor before the surgery on the 30th.

NATAKU, 20~29 year old female. Ask Date: 2005/06/10

Dr. Hou Yongji reply Surgery


Hello: If there is no acute episode, surgery is generally not urgently required.
However, some patients may experience abscesses that spread around the anal area, so if surgery can be performed promptly, it should be addressed as soon as possible.
Thank you.

Reply Date: 2005/06/10

More Info


Delaying surgery for an anal fistula can indeed lead to several concerns, and it's understandable that you're feeling anxious about the situation. An anal fistula is an abnormal connection between the anal canal and the skin surrounding the anus, often resulting from an infection or abscess. If left untreated, it can lead to complications and worsening symptoms.

When you delay surgery, there are a few potential risks and considerations to keep in mind:
1. Infection and Abscess Formation: If you notice that your wound feels "off" or suspect that there may be pus, it could indicate an ongoing infection. An untreated infection can lead to the formation of an abscess, which may require additional treatment or even emergency surgery if it becomes severe.

2. Worsening Symptoms: As time goes on, the fistula may become more complicated. This could lead to increased pain, swelling, and drainage, making the eventual surgery more challenging. In some cases, the fistula can develop into a more complex form, which may require a more extensive surgical procedure.

3. Impact on Quality of Life: The discomfort and potential for ongoing drainage can significantly affect your daily activities, including your ability to attend school and participate in social activities. The longer you wait, the more it may impact your quality of life.

4. Post-Surgical Complications: If the fistula becomes more complicated due to delay, the surgery may have a higher risk of complications, such as incontinence or recurrence of the fistula. Surgeons prefer to operate on simpler cases, as they generally have better outcomes.

Given that your surgery is scheduled soon, it is advisable to communicate your concerns with your healthcare provider. If you are experiencing unusual symptoms, such as increased pain or drainage, it is wise to seek medical attention before your surgery date. Your doctor may want to assess the situation to ensure that the surgery can proceed as planned and to address any potential complications.

In the meantime, here are some general recommendations to manage your symptoms until your surgery:
- Maintain Hygiene: Keep the area clean and dry to prevent further infection. Gentle cleansing with warm water can help.

- Avoid Irritants: Be cautious with soaps or products that may irritate the area. Opt for gentle, unscented products.

- Pain Management: Over-the-counter pain relievers may help alleviate discomfort, but consult your doctor before taking any medication.

- Dietary Considerations: A high-fiber diet can help prevent constipation, which is important for minimizing strain during bowel movements.

In conclusion, while delaying surgery for an anal fistula can lead to complications, it is crucial to stay in close contact with your healthcare provider. If you notice any changes in your symptoms, do not hesitate to reach out for advice. Your health and well-being are paramount, and addressing any concerns promptly can help ensure a smoother surgical experience and recovery.

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