Fistula surgery, Surgery FAQ

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Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms

Can an anal fistula infect the perineal nerves? Health insurance card number 0000-2190-0544. ID number A129354275. Hello, doctor. I am now three months post-operative from anal fistula surgery. On July 17, I returned for a follow-up regarding a small abrasion near the anus, and I...


Dr. Zhang Shuhao Reply:
Anal fistula surgery may involve partial sphincterotomy, which can lead to the contraction pain you described before healing is complete. Recurrence of the fistula or deeper inflammation and abscess formation may also cause similar symptoms. It is advisable to return to the origi...

[Read More] Can Anal Fistula Infection Affect Perineal Nerves? Understanding Your Symptoms


Post-Surgery Concerns After Anal Fistula Surgery: What to Expect

Postoperative issues following anal fistula surgery? Hello, I would like to consult with a doctor. I underwent anal fistula surgery at the end of February this year, but I experienced swelling in both May and July, with the May episode even resulting in pus formation. When I retu...


Dr. Zhang Shuhao Reply:
If the fistula has been completely excised, it is unlikely to recur at the same site. However, if there is swelling or purulent discharge, it is necessary to check for the formation of a new abscess or fistula. The surgical wound may exhibit itching or scar tissue formation depen...

[Read More] Post-Surgery Concerns After Anal Fistula Surgery: What to Expect


Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair

Issues Related to Sexual Activity or Childbirth After Anal Fistula Surgery Hello Doctor, I underwent anal fistula surgery in early March, but from May to July, I experienced swelling and even pus formation. I consulted my original surgeon, who addressed the issues, and after a pr...


Dr. Ke Fangxu Reply:
1. If there is still swelling and purulent discharge, it may indicate a recurrence. As long as there is no anal intercourse, it should not affect sexual activity. 2. If the fistula is not connected to the vagina, then it should not be related. 3. It depends on the subsequent ...

[Read More] Post-Surgery Concerns: Sexual Activity and Childbirth After Anal Fistula Repair


Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?

If the anal abscess and fistula are no longer painful, is surgery still necessary? Hello Doctor: Recently, I developed an abscess near my anus, for which I visited a clinic, received antibiotics, and had the pus drained. Currently, I no longer feel any foreign body sensation or p...


Dr. Zhang Shuhao Reply:
If it is the first occurrence of an anal abscess and it is incised and drained, a fistula may not necessarily form. The clinic may discover this through palpation, or if there is recurrent swelling and pain, surgery may be recommended. If there is no pain, it indicates that the i...

[Read More] Do You Still Need Surgery for a Pain-Free Anal Abscess and Fistula?


Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery

Fistula surgery 1. Is minimally invasive surgery significantly worse than traditional surgery in terms of success rates, recovery outcomes, and recurrence rates? 2. I see that there are minimally invasive ligation and minimally invasive laser procedures available online; are the...


Dr. Zhang Shuhao Reply:
1. Traditional surgery for fistulas currently remains the surgical method with the lowest recurrence rate. Minimally invasive surgery results in smaller wounds and faster recovery, but the location of the fistula must be precisely identified, and in the case of complex fistulas, ...

[Read More] Understanding Minimally Invasive Surgery: Techniques, Success Rates, and Recovery


Post-Surgery Concerns: Three Months After Anal Fistula Procedure

Questions regarding the condition three months after anal fistula surgery? Hello, doctor. I underwent anal fistula surgery at the end of February this year, where the doctor performed a fistulotomy. During this period, I took about 20 days off work to rest. I have been taking sit...


Dr. Ke Fangxu Reply:
Postoperative hard lumps at the wound site may be scar tissue resulting from good healing, but there is also a possibility of recurrence. If both physicians do not suspect recurrence, then the likelihood of it being scar tissue is greater. Scar tissue generally takes about six mo...

[Read More] Post-Surgery Concerns: Three Months After Anal Fistula Procedure


Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time

Anal fistula surgery wound 1. How many openings are there in a single anal fistula incision in minimally invasive surgery? Approximately how large is the wound? How long does recovery take?


Dr. Xu Kaixi Reply:
Hello, due to limited information, the size, length, and location of the fistula will affect the shape and size of the wound. It is recommended that you visit the hospital's colorectal surgery outpatient clinic for a personal examination and evaluation.

[Read More] Understanding Anal Fistula Surgery: Wound Size, Holes, and Recovery Time


Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips

After the development of an anal fistula, a common complication is the leakage of fecal fluid, which can result in soiling of the underwear? I have had two surgeries for my anal fistula, and now I have small bumps resembling acne below my anus. After squeezing them, they bleed an...


Dr. Zhang Shuhao Reply:
Fistula surgery requires cutting part of the sphincter muscle. Postoperatively, there may occasionally be a sensation of incontinence during bowel movements, but it should not reach the level of being unable to hold it. Dietary adjustments or medication can improve bowel function...

[Read More] Managing Recurring Anal Fistulas: Surgical Options and Recovery Tips


Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered

After drainage of an anal abscess Hello Doctor: On March 27, I noticed swelling from the perineum to the anus. In the meantime, I applied hemorrhoid ointment and took oral medication for hemorrhoids. By March 31, I saw no improvement, so on April 1, I went to the hospital for a r...


Dr. Zhang Shuhao Reply:
1. After incision and drainage, as long as the abscess is completely drained, the surrounding inflamed and swollen tissue will gradually recover. There will be some unusual sensations when there is a wound; it is important to continue applying medication and monitor for any signs...

[Read More] Understanding Post-Drainage Care for Anal Abscess: Key Questions Answered


Post-Surgery Concerns: Understanding Healing After Fistula Surgery

Post-fistula surgery Hello Doctor, I underwent an anal fistula excision surgery on January 11th using traditional surgical techniques, and it has been almost three months since then. However, it has not completely healed. I usually do not feel any discomfort, but I notice fresh b...


Dr. Zhang Shuhao Reply:
Your wound looks clean and shows no signs of infection or inflammation. If there is only a thin layer of skin remaining, it may be due to the initial depth of the wound or increased tension in the surrounding skin. Just keep the wound clean and allow it to heal gradually. You can...

[Read More] Post-Surgery Concerns: Understanding Healing After Fistula Surgery


Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery

Post-fistula surgery Hello Doctor, I underwent anal fistula surgery on March 14. During my follow-up appointment on March 22, it was confirmed that the external wound was healing well. However, starting from the night of March 23, I developed a fever of about 38.7°C and began exp...


Dr. Zhang Shuhao Reply:
After anal fistula surgery, if the wound is in an open state, the risk of infection is low. Pain associated with anal inflammation and abscess is usually quite pronounced. If there are symptoms such as fever and diarrhea, along with cold-like symptoms, it may indicate a viral inf...

[Read More] Post-Surgery Concerns: Fever and Diarrhea After Fistula Surgery


Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey

Postoperative pain and incontinence after anal fissure surgery? Hello Dr. Ke, last May I underwent surgery for chronic anal fissures combined with anal stenosis. The doctor performed excision of internal hemorrhoids, sentinel hemorrhoids, fissurectomy, and a vertical and horizont...


Dr. Ke Fangxu Reply:
1. If the pain during bowel movements decreases and there is no more bleeding, then the surgery should be considered successful. The scar pain should gradually alleviate; however, if it persists for more than six months, it is advisable to consult the surgeon for further evaluati...

[Read More] Managing Pain and Incontinence After Anal Fissure Surgery: A Patient's Journey


Post-Fistula Surgery: Managing Bowel Movements and Infection Risks

Bowel movements after fistula surgery? Hello doctor, I had a fistula surgery on February 19, and I noticed that the wound is close to the anus. Every time I have a bowel movement, a lot of feces gets on it. I first wipe with toilet paper, then use wet wipes, and finally rinse wit...


Dr. Zhang Shuhao Reply:
The wound from a fistula surgery has irregular edges, making it difficult to clean thoroughly, and vigorous scrubbing is not recommended. It is generally advised to rinse with water and use moist wipes for assistance in cleaning. A small amount of residual stool is acceptable and...

[Read More] Post-Fistula Surgery: Managing Bowel Movements and Infection Risks


Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect

Postoperative Recovery After Anal Fistula Surgery Hello Doctor, Happy New Year. I underwent an anal fistula excision surgery using traditional surgical methods on January 11 of this year. During my follow-up appointment on February 5, the surgeon mentioned that there were no sign...


Dr. Zhang Shuhao Reply:
Based on the wound image, the wound appears to be gradually healing and shows no obvious signs of infection. The recovery speed may vary depending on individual constitution and surgical method, but it currently seems normal. You can continue to take warm sitz baths, keep the wou...

[Read More] Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect


Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect

Postoperative Recovery After Anal Fistula Surgery Hello Doctor, Happy New Year. I underwent an anal fistula excision surgery using traditional surgical methods on January 11th of this year. During my follow-up appointment on February 5th, the surgeon mentioned that there were no ...


Dr. Zhang Shuhao Reply:
Based on the wound images, the wound appears to be gradually healing and shows no obvious signs of infection. The recovery speed may vary depending on individual constitution and surgical method, but it currently seems to be normal. You can continue with warm water sitz baths, ke...

[Read More] Post-Surgery Recovery Tips for Anal Fistula Surgery: What to Expect


Post-Surgery Care and Concerns After Fistula Procedure: What to Expect

Assessment of post-fistula surgery condition? I underwent a fistula surgery, which I believe was superficial. The clinic performed the surgery immediately on the same day. Now, three days have passed, and during my follow-up appointment on the second day, the doctor removed a pie...


Dr. Ke Fangxu Reply:
1. Fistula incision surgery involves cutting the internal opening to the external opening, effectively creating a single opening, thus eliminating both the internal and external openings. 2. Normal. 3. Will. 4. Will not.

[Read More] Post-Surgery Care and Concerns After Fistula Procedure: What to Expect


Post-Fistula Surgery Care: Managing Pain and Medication Application

Post-fistula surgery Hello Doctor, I underwent a fistula excision surgery on January 11th. I am taking sitz baths four times a day, and I experience slightly more pain than usual during the baths, along with some bleeding. I would like to know if this is normal. The surgeon presc...


Dr. Zhang Shuhao Reply:
It is normal to experience slightly more pain and some bleeding during sitz baths before the wound has healed, and this will improve over time. If sitz baths are performed more frequently, the amount of ointment can be reduced, and it may even be sufficient to apply it only in th...

[Read More] Post-Fistula Surgery Care: Managing Pain and Medication Application


Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications

Postoperative condition after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26, and since then, there has been a small opening in the wound that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a follow-u...


Dr. Zhang Shuhao Reply:
The wound has a small opening with purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not believe it is a recurrence, the clinical judgment of the physician should be prioritized. If there are symptoms suc...

[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications


Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications

Postoperative conditions after anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on October 26. The wound has been healing, but there is still a small opening that intermittently bleeds (deep red, sometimes with a small amount of yellow-green pus). I had a foll...


Dr. Zhang Shuhao Reply:
The wound has a small opening and there is purulent bloody discharge, which raises the possibility of recurrence or an incompletely cleared fistula. If the surgeon does not consider it to be a recurrence, the clinical judgment of the physician should be prioritized. If there are ...

[Read More] Post-Surgery Concerns: Understanding Anal Fistula Healing and Complications


Post-Surgery Concerns: Blood After Bowel Movements Explained

Post-fistula surgery After nearly two months post-surgery, if you notice some blood when wiping after a bowel movement, it could be due to hard stools or a wound that hasn't fully healed.


Dr. Zhang Shuhao Reply:
Wound healing after fistula surgery typically takes about four to eight weeks. Initially healed wounds may still be prone to friction and bleeding, but allowing the wound to rest will promote healing. It is recommended to take warm sitz baths, increase fluid intake, and consume d...

[Read More] Post-Surgery Concerns: Blood After Bowel Movements Explained


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