Anal Fistula Probe Examination and Post-Surgery Concerns

Anal fistula probe examination

Hello Dr.
Ke: I had anal fistula surgery 18 days ago, and my recovery was going well.
However, two days ago, I noticed some redness and swelling around the anal area.
I went for a follow-up appointment, but the doctor seemed uncertain about the issue and performed a probing examination, which included electrocautery.
After the examination, the doctor said it was not a fistula, but did not specify what it was.
Upon returning home, I noticed that the wound looked somewhat charred.
I would like to ask Dr.
Ke: 1.
Why was electrocautery necessary? 2.
How long will it take for this new wound to heal? 3.
Is it possible for a new anal fistula to develop so quickly? I am really scared of having to undergo another surgery.
Thank you, Dr.
Ke, for your response.

Lai, 40~49 year old female. Ask Date: 2016/01/16

Dr. Ke Fangxu reply Surgery

1.
The reason for electrocautery may be to remove granulation tissue from the wound, but the exact reason should be confirmed with the performing physician, as I can only speculate.
2.
Generally, the surgical wound from an anal fistula procedure takes about a month to heal, and during this period, it is important to continue warm sitz baths.
3.
Typically, a fistula does not recur in such a short time; these situations are mostly just part of the healing process.
It is advisable to have regular check-ups with your physician, and if discomfort persists beyond a month, further evaluation should be considered.

Reply Date: 2016/01/16

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your recent anal fistula surgery and the subsequent examination. It's understandable to feel anxious after surgery, especially when new symptoms arise. Let's address your questions one by one.

1. Why was electrocautery used?
Electrocautery is a technique that uses electrical current to cut tissue or coagulate blood vessels. In your case, it may have been used during the probe examination to control bleeding, remove any abnormal tissue, or to help in the healing process by promoting coagulation at the site of concern. This method can also help in reducing inflammation and preventing infection by cauterizing any small blood vessels that could lead to further complications.

2. How long will the new wound take to heal?
The healing time for a new wound can vary significantly based on several factors, including the size and depth of the wound, your overall health, and how well you follow post-operative care instructions. Generally, superficial wounds can take about 1 to 2 weeks to heal, while deeper wounds may take longer, possibly several weeks. It's crucial to keep the area clean and follow any specific care instructions provided by your healthcare provider to promote optimal healing.

3. Can a new anal fistula develop so quickly?
While it is possible for a new anal fistula to develop, it is relatively uncommon for this to happen so soon after surgery. Fistulas typically form as a result of an infection or abscess that fails to heal properly. If your doctor has assessed that what you are experiencing is not a fistula, it may be related to inflammation or irritation from the surgery or the healing process. However, if you continue to experience symptoms such as redness, swelling, or discharge, it is essential to follow up with your healthcare provider for further evaluation.

It's completely normal to feel apprehensive about the possibility of needing another surgery. However, it’s important to communicate openly with your doctor about your fears and symptoms. They can provide you with a clearer understanding of your condition and the steps you can take to ensure a smooth recovery.

In the meantime, here are some general post-operative care tips that may help:
- Keep the area clean: Gently clean the anal area with mild soap and water after bowel movements. Avoid using harsh soaps or scrubbing the area.

- Warm baths: Soaking in a warm bath can help soothe discomfort and promote healing.

- Dietary considerations: Eating a high-fiber diet can help prevent constipation, which can strain the surgical site. Staying hydrated is also important.

- Pain management: If you experience discomfort, over-the-counter pain relievers may help, but consult your doctor before taking any medication.

- Monitor symptoms: Keep an eye on any changes in your symptoms, such as increased pain, swelling, or discharge, and report these to your doctor promptly.

Lastly, if you have any lingering concerns or if your symptoms worsen, do not hesitate to reach out to your healthcare provider. They are there to help you navigate your recovery and address any complications that may arise.

Wishing you a smooth and speedy recovery!
Best regards,
Doctor Q&A Teams

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