Managing Recurrence After Minimally Invasive Anal Fistula Surgery
Six months ago, an anal fistula was surgically treated? Hello Doctor: I would like to inquire about a fistula surgery I had performed six months ago using a minimally invasive technique. Now, nearly half a year later, it has suddenly recurred. I would like to know if a second sur...
Dr. Ke Fangxu Reply:
Many hospitals now promote minimally invasive surgery, but it is essential to consider whether it is truly minimally invasive and whether the patient is suitable for such procedures. Fistula surgery is inherently a destructive procedure. If a minimally invasive approach has been ...[Read More] Managing Recurrence After Minimally Invasive Anal Fistula Surgery
Post-Surgery Care and Concerns for Anal Fistula Repair: What to Expect
Post-anal fistula surgery Hello, doctor. I underwent anal fistula surgery on May 7, and during my follow-up appointment one week later, the doctor indicated that I had a typical fistula. After examining the wound, there were no signs of abnormality. The fistula extended from the ...
Dr. Ke Fangxu Reply:
Green discharge is often a sign of infection, so it is best to consult a physician for an examination. There is no need to apply ointment inside the anus, as it will not adhere effectively. Inserting a cotton swab into the anus increases the risk of accidental injury, so it is no...[Read More] Post-Surgery Care and Concerns for Anal Fistula Repair: What to Expect
Post-Surgery Concerns: Understanding Discharge and Healing After Fistula Removal
Postoperative care for anal fistula surgery? Hello, Doctor. It has been 4 weeks since my fistula excision surgery. During my follow-up appointment 2 weeks ago, the doctor said my recovery was good and that I didn't need to return for further visits. Currently, the external w...
Dr. Ke Fangxu Reply:
1. The healing period after fistula surgery varies depending on the length of the fistula. Generally, complete healing takes at least one month; however, more complex fistulas may take up to two months to heal. During the healing process, there may be secretions, and it may take ...[Read More] Post-Surgery Concerns: Understanding Discharge and Healing After Fistula Removal
Post-Surgery Concerns After Fistula Procedure: What to Expect
Post-operative issues related to fistula surgery? Hello Doctor, thank you for taking the time to respond to my questions! I underwent a fistula surgery on April 28 (the doctor indicated that the wound is inside the anus, not outside). After more than a week, I no longer experienc...
Dr. Li Zhonghuai Reply:
Hello! Fistula wounds are generally not very visible from the outside. Please return for a follow-up appointment so the doctor can assess the healing progress of the wound and determine whether you need to continue sitz baths. Also, please have the doctor evaluate the three raise...[Read More] Post-Surgery Concerns After Fistula Procedure: What to Expect
Post-Surgery Concerns: Healing Process After Anal Fistula Surgery
Post-anal fistula surgery Hello, Doctor: I had anal fistula surgery on March 15, and it has been over a month since the operation. There is still a small opening on the surface of the wound that has not healed, and it currently secretes a little yellowish fluid. Today, I had more...
Dr. Ke Fangxu Reply:
After anal fistula surgery, the wound should be completely healed within one month. If the initial wound was larger, it may take a few more weeks to heal. The biggest concern is the potential recurrence of the fistula after surgery, which would require another surgical procedure....[Read More] Post-Surgery Concerns: Healing Process After Anal Fistula Surgery
Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Post-fistula surgery Hello, Director Ke: I underwent a fistula surgery on April 8, 2020. However, while taking a shower, I touched the area around the wound and noticed a small lump that resembles an external hemorrhoid, approximately the size of a small fingertip. The doctor exa...
Dr. Ke Fangxu Reply:
This is a common phenomenon, and as long as there is no bleeding or pain, it should be fine. Since your doctor has examined you and believes it is a blood clot, I think their opinion is more accurate than mine, as I have not personally examined you. Swelling and pain after surger...[Read More] Post-Surgery Concerns: Understanding Swelling and Blood Clots After Fistula Surgery
Post-Surgery Concerns: Red Growth After Fistula Surgery
Postoperative issues After undergoing a fistula incision surgery, I had a normal bowel movement in the hospital the next day. However, after being discharged and returning home, I noticed a red fleshy growth protruding from my anus. I'm unsure if it's a polyp or hemorrh...
Dr. Ke Fangxu Reply:
Answer: Without a personal examination of the wound, it is difficult to provide a definitive answer. However, this could potentially be a wound from a fistula incision, where polyps may be observed before the wound has fully healed. There is also a possibility of hemorrhoidal swe...[Read More] Post-Surgery Concerns: Red Growth After Fistula Surgery
Post-Surgery Concerns: Understanding Discomfort After Fistula Surgery
Post-fistula surgery Doctor, I just had a fistula incision surgery this week, and I keep feeling the urge to push at the anus even though I don't need to have a bowel movement. This happens even after I've just gone to the bathroom. Although it doesn't hurt, it is ...
Dr. Ke Fangxu Reply:
After anal surgery, experiencing abnormal sensations within two weeks is normal. It is recommended to take warm sitz baths, which should help alleviate the symptoms. If the symptoms persist without improvement, you should consult your surgeon for an examination and possible medic...[Read More] Post-Surgery Concerns: Understanding Discomfort After Fistula Surgery
Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Fistula surgery Hello Doctor, I would like to ask if the current treatments for fistulas are limited to traditional fistula excision surgery and fistulotomy? I would like to understand the differences between these two types of surgeries and the size of the wounds, as well as whe...
Dr. Ke Fangxu Reply:
In addition to these two methods, there is also an endoscopic resection surgery for complex fistulas, although the effectiveness is not very certain. Simple fistulas are mostly treated with incision surgery, which has the advantage of a low recurrence rate but the disadvantage of...[Read More] Understanding Fistula Surgery: Traditional vs. Minimally Invasive Options
Post-Surgery Effects on Sexual Function: Understanding Ejaculation Changes
Will surgery affect sexual function? Hello doctor, I would like to ask about my condition. It has been three days since my fistula surgery, and I have a sexual desire. The process was normal, but during ejaculation, I experienced orgasm without any semen being released. Is this a...
Dr. Ke Fangxu Reply:
Answer: Non-anal surgeries do not cause sexual dysfunction.[Read More] Post-Surgery Effects on Sexual Function: Understanding Ejaculation Changes
Post-Surgery Recovery: Understanding Care After Fistula Surgery
Postoperative recovery after fistula surgery? Hello, I had a fistula surgery a week ago, and during my hospital stay, the nursing staff provided me with ointment to apply. However, when I returned for a follow-up appointment a week later and asked the doctor if I could get more o...
Dr. Ke Fangxu Reply:
The size of the wound is generally not related to whether or not to apply an ointment. It is commonly believed that the key is to keep the wound clean rather than the application of ointment being necessary. Personally, I do not apply ointment in the early postoperative period be...[Read More] Post-Surgery Recovery: Understanding Care After Fistula Surgery
Post-Surgery Recovery: Do I Need Ointment After Fistula Surgery?
Postoperative recovery after fistula surgery? Hello, I had a fistula surgery a week ago, and the nursing staff at the hospital provided me with ointment to apply. However, when I returned for a follow-up appointment a week later and asked the doctor if I could get more ointment, ...
Dr. Ke Fangxu Reply:
The size of the wound is generally not related to whether or not to apply ointment. It is commonly believed that the key is to keep the wound clean rather than the application of ointment. Personally, I do not apply ointment in the early stages after surgery because I feel that a...[Read More] Post-Surgery Recovery: Do I Need Ointment After Fistula Surgery?
Post-Surgery Recovery: Do You Need Ointment After Fistula Surgery?
Recovery after fistula surgery? Hello, I had a fistula surgery a week ago, and the nursing staff at the hospital provided me with ointment to apply. However, when I returned for a follow-up appointment a week later and asked the doctor if I could get some ointment, he said that o...
Dr. Ke Fangxu Reply:
The size of the wound is generally not related to the necessity of applying ointment. It is commonly believed that whether or not to apply ointment is not essential; the key is to keep the wound clean. Personally, I do not apply ointment in the early postoperative period because ...[Read More] Post-Surgery Recovery: Do You Need Ointment After Fistula Surgery?
Understanding Recovery After Anal Fistula Surgery: What to Expect
What is the recovery process like after anal fistula surgery? I underwent anal fistula surgery on September 26, 2019. After the surgery, I had three follow-up appointments, and the same doctor said the wound looked normal and advised me to continue rinsing with water at home. I h...
Dr. Ke Fangxu Reply:
The healing time for anal fistula surgery is generally prolonged, and it is indeed concerning if the wound has not fully healed after two months. I am not quite sure what you mean by "another opening." Shouldn't there only be one opening at the site of the fistula ...[Read More] Understanding Recovery After Anal Fistula Surgery: What to Expect
Post-Surgery Concerns: Understanding Symptoms of Anal Fistula Recurrence
Postoperative issues following anal fistula surgery? Hello Doctor: I underwent anal fistula surgery on August 6, 2019. I took a photo of the wound with my phone, and it looks like it is healing well. The doctor mentioned that my fistula wound is very close to the anal opening, wh...
Dr. Ke Fangxu Reply:
All fistulas are located very close to the anus, so they naturally heal more slowly. However, it is not normal for a fistula to remain unhealed three months after surgery. Symptoms of fistula recurrence include the reappearance of a skin opening and purulent discharge, and someti...[Read More] Post-Surgery Concerns: Understanding Symptoms of Anal Fistula Recurrence
Understanding Complex Anal Fistulas: Treatment Options Beyond Surgery
Anal fistula The situation is as follows: I previously went to a hospital to arrange for a fistula surgery, but the doctor informed me that the fistula was too deep and the internal opening could not be located, so they were unable to perform the procedure directly. Therefore, th...
Dr. Ke Fangxu Reply:
The management of complex fistulas can be quite challenging. Performing a fistulotomy can indeed lead to sphincter damage, so the approach is somewhat different. The traditional surgical method is the seton procedure, which involves placing a thread through the fistula. However, ...[Read More] Understanding Complex Anal Fistulas: Treatment Options Beyond Surgery
Post-Abscess Surgery: Do I Need Fistula Surgery?
Post-operative issues following abscess surgery? At the end of July this year, I underwent an abscess surgery. About a month later, I visited my original doctor for a follow-up examination, and he mentioned that it had developed into a mild fistula. However, up to now, the wound ...
Dr. Ke Fangxu Reply:
If there is currently no pain, bleeding, or discharge, you can observe the situation for a while. However, if the symptoms recur, surgery will be necessary for a definitive cure. If surgery is not considered, antibiotic treatment can only be used during flare-ups of the fistula, ...[Read More] Post-Abscess Surgery: Do I Need Fistula Surgery?
Post-Surgery Concerns: Issues with Stitches After Fistula Procedure
One week after the fistula surgery, there is a phenomenon of suture detachment at both the upper and lower ends? Last week, my mother underwent a fistula surgery. On the third day post-operation, I noticed that the wound seemed to be longer. After comparing photos, I found that t...
Dr. Ke Fangxu Reply:
1. The fistula surgery uses absorbable sutures that will naturally dissolve and fall off within 1-2 weeks after the procedure, so there is no need to rush to have a doctor address it. 2. If the sutures do not fall off on their own, it is acceptable to cut them, but care should b...[Read More] Post-Surgery Concerns: Issues with Stitches After Fistula Procedure
Slow Recovery After Fistula Surgery: Tips for Faster Healing
The recovery after fistula surgery is very slow? Hello Doctor, I had a fistula surgery in mid-January 2019 at the six o'clock position near the coccyx, with a length of about three to four centimeters. For postoperative care, I found that sitz baths were not very effective f...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is recommended to use sitz baths instead of rinsing, as rinsing may cause anal contractions and could miss deeper areas. Other precautions include avoiding prolonged sitting and constipation, and increasing the frequency of sitz baths, which should ...[Read More] Slow Recovery After Fistula Surgery: Tips for Faster Healing
Post-Fistula Surgery: Understanding Discharge and Potential Infection Concerns
Post-fistula surgery Hello, doctor. I had a fistula surgery about a month ago. Two weeks ago, the surgeon told me that I no longer needed to take sitz baths and that I didn't need to return for follow-up appointments, just to apply medication. However, it has been over a mon...
Dr. Ke Fangxu Reply:
After anal fistula surgery, it is common to have wound discharge that may last for 1-2 months. Taking warm sitz baths should help. If the wound does not show improvement, it is advisable to return to the physician for a thorough examination.[Read More] Post-Fistula Surgery: Understanding Discharge and Potential Infection Concerns