Fistula surgery, Surgery FAQ

Understanding Blood in Stool: Causes and When to Seek Help

Bleeding during bowel movements? Hello doctor, I have recently been experiencing blood in my stool. The frequency of my bowel movements has increased, but the amount is less, and the blood is dark red. After I finish, the toilet bowl is filled with red, and the toilet paper gets ...

Dr. Ke Fangxu Reply:
Based on your description, it seems that the likelihood of hemorrhoidal bleeding is higher and may not necessarily be related to your fistula surgery. It is advisable to avoid constipation and shorten the time spent during bowel movements. You may also consider using a rectal sup...

Post-Surgery Concerns After Anal Fistula Surgery: Your Questions Answered

Postoperative issues following anal fistula surgery? The fistula surgery was 36 days ago, and during my follow-up appointment yesterday, the doctor said I don't need to return for further visits. However, in my haste, I forgot to ask the doctor some questions, so I would lik...

Dr. Ke Fangxu Reply:
1. Yes. 2. If the wound has completely healed and there is no drainage, soaking is not necessary. It’s understandable if it’s inconvenient when you’re out. The principle is to maintain cleanliness as much as possible. 3. It's fine; you can resume a normal diet one month afte...

Is It Normal to See Blood Clots After Fistula Surgery?

After surgery for a fistula..? Hello Dr. Hsu, I would like to ask if it's normal for my father to have blood clots in his stool one week after having a colostomy. I'm very worried because my father is severely disabled due to a stroke and cannot speak to express himself...

Dr. Xu Kaixi Reply:
After anal canal surgery, wound healing typically takes at least 2-3 weeks if there is no infection or complications. During this period, it is normal to experience slight bleeding during bowel movements; however, if there is significant bleeding or other accompanying symptoms, i...

Understanding Recurring Wound Issues After Anal Fistula Surgery

After surgery for an anal fistula, the wound repeatedly opens up? Hello Dr. Ke, I had surgery for an anal fistula two months ago, and the surface wound has healed twice. However, each time the wound heals on the surface, it cracks open again after 1 or 2 days, returning to about ...

Dr. Ke Fangxu Reply:
Fistula surgery does carry a risk of recurrence, and recurrent fistulas often present in a more complex manner. Without a personal examination, it may be difficult to provide a definitive answer. It is recommended that you take warm sitz baths and avoid constipation. If symptoms ...

Understanding Post-Surgery Pain and Swelling After Fistula Surgery

Fistula surgery issues I underwent a fistula surgery at the end of June, and my wound has healed. However, in the past two days, I've been experiencing some pain at the site and a feeling of swelling. I'm concerned that it might be a recurrence.

Dr. Cai Xingzhi Reply:
Hello: It is recommended that you visit a hospital to have a physician evaluate the healing status of your wound. Thank you.

Minimally Invasive Fistula Surgery: Hospitals in Taiwan Offering Options

Fistula Minimally Invasive Surgery Hello! Could you please tell me which hospitals in the country currently offer minimally invasive surgery for fistulas? I'm very afraid of traditional open surgery, and I couldn't find relevant information online. Thank you.

Dr. Cai Xingzhi Reply:
Fistula surgery is generally considered a minor procedure, so there is no need to be overly anxious, and it does not require minimally invasive techniques.

Understanding Anal Fistulas: Symptoms, Diagnosis, and Surgical Options

How to determine the presence of an anal fistula and whether surgical intervention is necessary? Hello, Doctor. I have a few questions I would like to ask you: I am 175 cm tall and weigh 90 kg. In the second half of 2013, I developed a painful lump in the perineal area below the ...

Dr. Ke Fangxu Reply:
1. A fistula is a channel that connects the rectum to the skin. Although there is currently no opening on the skin, intermittent secretion and redness may occur, which should be classified as a chronic anal fistula. 2. That should be the case. 3. If it causes disruption to dail...

Post-Surgery Concerns: Understanding Healing After Anal Fistula Surgery

Postoperative conditions following anal fistula surgery! Hello Dr. Ke: I underwent surgery for an anal fistula in March of this year. Since the surgery, I have maintained a regular bowel habit, and there has been no discharge since the wound healed. However, when I touch the heal...

Dr. Ke Fangxu Reply:
It is normal for significant scar tissue to remain after anal fistula surgery, which is actually the purpose of the procedure. The goal is to replace the fistula tract with scar tissue. As long as there is no pain, fever, or purulent discharge, there is no cause for concern. The ...

Post-Anal Fistula Surgery: Understanding Recovery and Care Instructions

Postoperative care after anal fistula surgery? I had anal fistula surgery this Wednesday, and I haven't felt the urge to have a bowel movement at all, but I've been passing gas continuously! Additionally, the doctor only instructed me to take sitz baths and apply ointme...

Dr. Ke Fangxu Reply:
It is normal to have discharge from the wound for two to three weeks after anal fistula surgery. During this time, do not intentionally squeeze the wound; instead, take warm sitz baths frequently. Additionally, do not insert the tube of ointment into the anus to avoid injuring th...

Understanding Fistula Surgery: Techniques, Recovery, and Hospital Practices

Fistula drainage surgery 1. Is the fistula seton placement surgery the same as the seton procedure? 2. Among fistula incision surgery, seton placement surgery, and minimally invasive surgery, which method allows for faster recovery, shorter hospital stay, quicker wound healing, r...

Dr. Xu Kaixi Reply:
1. There is a fistula ligation procedure, but no fistula excision procedure. 2.3. The surgical method for a fistula will be assessed by the physician based on various factors such as the depth, shape, complexity of the fistula, and whether there is an infection. The recovery proc...

Understanding Post-Surgery Changes: What to Expect After Fistula Repair

Fistula healing After a fistula surgery, it has been 7 days, and the wound is almost painless (even during bowel movements). However, there is a small growth next to it. What could this be? (The wound is approximately 2 centimeters long.)

Dr. Xu Kaixi Reply:
The wound healing process after anal fistula surgery has resulted in an unexpected situation (a lump has developed nearby). It is recommended that you visit the office of the surgeon who performed your procedure for further evaluation.

Understanding Fistula Surgery: Is Post-Operative Leakage Incontinence?

Fistula surgery incontinence Hello Dr. Ke, I had surgery on my fistula on June 18th, and it has been almost a month since then. I am still using gauze, but I have a question. After each bowel movement and cleaning, I continue to notice a yellowish fluid that resembles fecal matte...

Dr. Xu Kaixi Reply:
Anal fistulas can vary in size and complexity, as well as other factors such as whether there was concurrent hemorrhoid surgery or the presence of infection or abscesses. These factors can influence the size and depth of the surgical wound, as well as the healing status and durat...

Understanding Recovery After Fistula Surgery: What to Expect

Fistula healing Is it normal to experience minimal pain seven days after fistula surgery, and not feel much when touching the wound while rinsing? The wound is still visible, could it be that the epidermis is healing first? (The wound is approximately 2-3 centimeters long.)

Dr. Xu Kaixi Reply:
After a simple anal fistula surgery, if healing progresses smoothly, the wound can recover within one to two weeks. Based on your description, your wound healing status is good, so there is no need for concern.

Understanding Fistula Surgery: Key Questions and Concerns

Fistula surgery issues Hello: 1. I have a spherical mass approximately 2 cm in diameter located about 3-4 cm inside my rectum on the right side of the mucosa, which suddenly appeared after traveling to Korea two years ago. It feels somewhat firm like muscle but not hard when pr...

Dr. Cai Xingzhi Reply:
Hello, if an anal fistula traverses the entire anal sphincter, it is necessary to perform a staged division of the sphincter to prevent anal incontinence. Generally, long-term hospitalization is not required; regular outpatient follow-ups for suture management are sufficient. The...

Is HCPT Minimally Invasive Surgery for Fistulas Common in Taiwan?

The HCPT (Harmonic Scalpel for Transanal Endoscopic Microsurgery) procedure for treating anal fistulas? I apologize, but I would like to ask a follow-up question regarding the HCPT minimally invasive surgery for anal fistulas. Is it commonly performed in medical centers in Taiwan...

Dr. Cai Xingzhi Reply:
Hello, regarding fistula surgery, different hospitals have various approaches. Currently, major hospitals offer various minimally invasive surgeries that primarily benefit patients by minimizing wound size and promoting faster recovery, unlike traditional surgeries which tend to ...

Managing Recovery After Fistula Surgery: Tips for Pain and Care

Fistula healing I underwent fistula surgery on July 2nd, and I have been feeling better since then. However, every time I need to remove the cotton, it is very painful, and there is blood on the cotton. Should I remove the cotton when it is wet, or can I just remove it directly? ...

Dr. Ke Fangxu Reply:
1. It is normal to experience pain for two weeks after fistula surgery. If removing the cotton during sitz baths is very painful, it is recommended to gently remove it during the bath to alleviate discomfort. 2. Starting classes on July 13 may cause pain at the wound site due t...

Managing Pain and Recovery After Fistula Surgery: Tips and Concerns

Fistula healing I underwent a fistula surgery on July 2nd, and it has been 5 days since then. The doctor advised me to use a cotton ball to absorb secretions after taking a sitz bath, but every time I remove the cotton ball, it is very painful. Is this normal? Would using gauze i...

Dr. Ke Fangxu Reply:
1. It is normal to experience pain for two weeks after fistula surgery. If removing the cotton during sitz baths is very painful, it is recommended to gently remove it during the bath to alleviate discomfort. 2. Maintaining wound cleanliness post-surgery can reduce the risk of r...

Is Incomplete Healing Normal After Anal Fistula Surgery?

Is the anal fistula site not fully healed after surgery? Hello Dr. Ke: I underwent surgery for an anal fistula about two months ago. For the first two weeks post-surgery, I continued with warm sitz baths and applied medication. After some time, the affected area began to heal, an...

Dr. Ke Fangxu Reply:
It is normal for fistula surgery to result in more noticeable scar tissue, as the procedure involves destroying the fistula tract to prevent recurrence. As long as there is no pain, inflammation, or abnormal discharge, it is not a concern. However, it is unlikely that the skin wi...

Post-Surgery Recovery: Understanding Symptoms After Fistula Surgery

Fistula surgery Hello Dr. Ko, I was admitted to the hospital on January 6th for anal fistula surgery. It has been over a month since the procedure. During my recent follow-up appointment, the doctor mentioned that the wound is only a small area and is close to healing, with no bl...

Dr. Ke Fangxu Reply:
Generally, after anal fistula surgery, the wound will heal within a month, although mild stinging discomfort may persist. Depending on the size of the wound, it may take up to two months for the pain to completely resolve. If there is no redness, swelling, or purulent discharge f...

Understanding Skin Bumps Near the Anus: Possible Causes and Concerns

Pimples on the skin near the anus? I previously underwent fistula surgery, and recently I noticed a bump resembling a pimple on the skin about 1 to 2 centimeters from the anus. The previous abscess was located at a fold near the anal opening, but this time the pus-filled bump is ...

Dr. Ke Fangxu Reply:
It is difficult to distinguish between the pus around the anal periphery and a recurrent fistula just by appearance; a physical examination is necessary for accurate differentiation. It is recommended that you visit a proctology clinic for a physician to conduct a personal diagno...

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