Fistula surgery, Surgery FAQ

Post-Surgery Issues After Fistula Surgery: Pain, Itching, and Concerns

Post-operative issues following fistula surgery? Dear Dr. Ke, 1. I underwent surgery to excise two anal fistulas in December 2019. About two months post-surgery, I no longer had any discharge, but I have been experiencing slight pain and itching at the anal area, especially afte...

Dr. Ke Fangxu Reply:
1. If the fistula surgery was performed more than a year ago, then this phenomenon could either be a recurrence or damage to the sphincter muscle. To determine the exact cause, a further examination by a physician is necessary. 2. It is possible, but it could also simply be fol...

Post-Surgery Care for Fistula: Managing Pain, Bleeding, and Hygiene

Postoperative Wound Care for Fistula Surgery Hello, doctor. I am 20 days post-operative from a fistula incision. A few days ago, during my follow-up appointment, the doctor said that the wound is healing well and that I do not need to return for further visits. However, I am curr...

Dr. Ke Fangxu Reply:
The wound from anal fistula surgery typically takes about 4-6 weeks to heal completely. If it is a complex fistula, the healing time may extend up to two months. During this period, slight bleeding and discharge from the wound are normal. Antibiotic ointments are not necessary, a...

Post-Fistula Surgery: Understanding Anal Sensitivity and Sexual Activity

Anal intercourse after anal fistula? Hello, doctor! Before my fistula surgery, I engaged in normal and safe anal intercourse, using lubrication and taking necessary precautions. However, after the fistula surgery, I had a recovery period of six months during which I did not engag...

Dr. Ke Fangxu Reply:
After fistula surgery, a scar tissue may form across the anal opening. Since scar tissue lacks elasticity, discomfort may occur during anal intercourse due to the repeated stretching. Theoretically, the wound should be fully healed six months post-surgery; however, discomfort may...

Post-Surgery Care for Fistula: Essential Tips and Concerns

Post-fistula surgery Hello Doctor, I had surgery for internal and external hemorrhoids a month ago, and due to a wound infection, an abscess formed. After the abscess ruptured on its own, a fistula developed. I just underwent fistula surgery the day before yesterday. The fistula ...

Dr. Ke Fangxu Reply:
1. It is not necessary to clean the wound thoroughly before applying povidone-iodine and saline; the key point is to ensure proper cleaning. 2. Using a bidet is not harmful; it is similar to rinsing with a handheld shower after bowel movements. It is impossible to completely cl...

Post-Surgery Care for Anal Fistula: Understanding Discharge and Healing Time

Post-anal fistula surgery Hello Doctor, I have undergone fistula surgery three times, and it has been 47 days since my third surgery. The external wound has turned white, but there is still yellow discharge, as shown in the picture. Sometimes there is no discharge, other times th...

Dr. Ke Fangxu Reply:
Although I haven't examined it in person, it appears from the photos that it has mostly healed. The presence of discharge indicates that the wound has not fully healed yet, but it should recover in about a month. If there is still discharge at that time, it would be advisabl...

Post-Surgery Concerns: Understanding Wound Healing After Anal Fistula Surgery

Postoperative wound issues following anal fistula surgery? Hello Doctor, I had a follow-up appointment last week, and the doctor said that my wound is healing well and advised me to monitor it for another two weeks. If there are any issues, I should return for another visit. Howe...

Dr. Ke Fangxu Reply:
The wound shown in the photo is clean with no signs of recurrence. The postoperative discharge is a normal phenomenon. If there are no specific discomforts, a follow-up visit may not be necessary.

Post-Surgery Bleeding: Understanding Causes After Fistula and Hemorrhoid Surgery

After undergoing surgery for a fistula and hemorrhoids, there is a small amount of blood on the toilet paper after bowel movements? Hello Doctor: I underwent fistula and hemorrhoid surgery on December 25, 2020. After a follow-up visit on January 19, the doctor confirmed that the ...

Dr. Ke Fangxu Reply:
If the incision from the fistula surgery is relatively large, a small amount of bleeding postoperatively is considered normal. However, if constipation occurs, it may affect wound healing. It is recommended to take warm sitz baths and avoid hard stools. If the bleeding does not i...

Understanding Yellow Discharge After Fistula Surgery: Is It Normal?

Post-fistula surgery Hello Dr. Ke, I have just completed my third anal fistula surgery 25 days ago. About 15 days post-surgery, I noticed yellow discharge. What does the yellow discharge indicate? Is it normal? I also experienced this discharge after the second surgery, and I am ...

Dr. Ke Fangxu Reply:
The wound healing after anal fistula surgery is slower, and there will be discharge until complete healing occurs. As long as there is no redness, swelling, heat, or pain, it is not a concern. During this time, it is important to take frequent sitz baths and maintain cleanliness....

Post-Surgery Care for Anal Fistula: Essential Tips and Concerns

Postoperative Wound Care for Fistula Surgery Dear Dr. Ke, The patient underwent anal fistula surgery on January 26. The wound is located next to the anus and can be seen with a mirror. The attending physician did not examine the wound before discharge. Since returning home on Ja...

Dr. Ke Fangxu Reply:
1. If sitting baths are not possible, a handheld showerhead can be used as an alternative. If there are concerns about residual fecal matter, multiple rinses can be performed. 2. Postoperative wound discharge is a normal phenomenon; as long as there is no redness, swelling, hea...

Is It Normal to Feel Pain During Sitz Baths After Fistula Surgery?

Post-operative sitz bath issues after fistula surgery? Hello doctor, I underwent an anal fistulotomy on January 18th, and during the process of taking a sitz bath at home, I experience a sharp pain as soon as I sit in the water. Is this normal?

Dr. Yu Mingchang Reply:
Hello: If you have a wound, it will hurt. The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Post-Surgery Concerns: Managing Wound Issues After Anal Fistula Surgery

Postoperative Wound Issues After Anal Fistula Surgery Hello Doctor, two days ago I underwent a fistulotomy. After resting at home for two days, I noticed some yellow discharge from the wound when I took a photo with my phone today. Is this a normal occurrence? Additionally, I hav...

Dr. Ke Fangxu Reply:
"The yellow substance in the wound" appears to be an unhealed area that is not red, swollen, hot, or painful, which can be considered normal. After a bowel movement, it is acceptable to rinse and then take a sitz bath. There is indeed a risk of recurrence with anal fist...

Post-Surgery Care for Anal Fistula: What to Expect and When to Worry

Postoperative care for anal fistula surgery? Hello, I underwent anal fistula surgery last week, and the wound is quite large, approximately 4cm x 4cm x 1cm. I've changed the dressing at least five times a day and have been soaking it in antiseptic solution, but the dressing ...

Dr. Ke Fangxu Reply:
After anal fistula surgery, it is normal to have increased discharge and more noticeable pain, especially within the first two weeks post-operation. As long as there is no bleeding or accumulation of pus, there is no need for concern. However, if the wound becomes severely red, s...

Post-Surgery Itching Around Anus: Is It Normal After Fistula Surgery?

Itching around the anal area after anal fistula surgery? Hello, doctor. It has been about three days since my anal fistula surgery, and it has been almost a month since the procedure. During my follow-up appointment last week, the surgeon said I was recovering normally and that I...

Dr. Ke Fangxu Reply:
One month after surgery, the wound has mostly healed. It is common for the wound to experience slight itching at this time. Indeed, corticosteroid ointment can help alleviate the symptoms, and regular follow-up appointments are sufficient.

Choosing Between Traditional and Minimally Invasive Fistula Surgery

Options for Fistula Surgery Hello Doctor, I previously asked you about anal fistulas. Last Saturday, I visited the colorectal surgery department at the hospital, and the doctor offered me two surgical options: traditional electrosurgery and minimally invasive surgery. He mentione...

Dr. Ke Fangxu Reply:
Simply stating "minimally invasive" is too vague; it is necessary for the physician to explain what specific instruments or surgical techniques are used to achieve minimally invasive results. This information is essential for making an informed decision. Additionally, d...

Understanding Fistula Surgery Recurrence: What You Need to Know

Does the fistula surgery have a recurrence? Hello, I have undergone two fistula surgeries this year, one in June and another in September. Currently, it has been 90 days since the second surgery, and the external wound has healed to a pink color. However, yesterday while having a...

Dr. Ke Fangxu Reply:
In general, the wound from a typical fistula surgery will heal within one month. For more complex fistulas, the healing time may be extended, but it rarely exceeds two months. If fresh blood is observed, it could indicate either a recurrence of the fistula or bleeding from hemorr...

Understanding Risks of Anal Fistula Surgery: What You Need to Know

Risks of Anal Fistula Surgery Hello Doctor, I was diagnosed with an anal fistula around October this year. However, I have been quite busy during the semester and plan to have the surgery during the winter break. I would like to ask if the surgery to remove the anal fistula carri...

Dr. Ke Fangxu Reply:
Surgery for anal fistulas does not cause incontinence; this is a misconception that has been perpetuated over time. If a simple fistula is not treated, it may worsen into a complex fistula, which most physicians are reluctant to manage. Complete healing of the surgical wound typi...

Post-Surgery Concerns: Understanding Bleeding and Pain After Fistula Surgery

Post-fistula surgery Hello, doctor. I had a fistula and external hemorrhoid surgery on October 20, 2020. It has been two months since then, and I have recently experienced slight bleeding and sharp pain. After one bowel movement, the bleeding increased (soaking half a tissue). Wh...

Dr. Ke Fangxu Reply:
Theoretically, the wound should be completely healed one month after surgery. If there is still significant bleeding, it may indicate poor wound healing or residual bleeding from internal hemorrhoids. It is advisable for you to have the surgeon check it again.

Post-Surgery Concerns: Pain Near Healing Site After Fistula Surgery

Postoperative care for anal fistula surgery? Hello Doctor: It has been about 4 months since my fistula surgery, and I have returned to normal life. However, recently while showering, I noticed swelling and pain near the healed wound (but there are no visible abnormalities). I wou...

Dr. Yu Mingchang Reply:
Hello: Please come back for a follow-up appointment at the Changhua Hospital of the Ministry of Health and Welfare. We care about you.

Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention

Surgical treatment for anal fistula? Hello Doctor, I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a risk of damaging the sphincter, so a third s...

Dr. Yu Mingchang Reply:
Hello: When you have time, please consider seeking a second opinion from another colorectal specialist. The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Understanding Anal Fistula Surgery: Recovery, Symptoms, and Prevention

Surgery for anal fistula? Hello, doctor. I had surgery in August due to an abscess issue, and recently I underwent a second surgery because of a recurrence. However, I was informed that the surgery was too deep and there is a concern about damaging the sphincter, so a third surge...

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