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Doctors' Answers to "Frequently Asked Questions" - Anal Fistula


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Any Alternatives to Surgery for Anal Fistula  [posted 12/02/98]
Question: My father has got fistula of ano.It's been there for a month.the dr he referred has adviced surgery. are there no drugs to cure this condition. are there any chances of recurrence of the fistula after the surgery or any other complications after the surgery.

Answer: Surgery is about the only choice. It will reoccur if there is ongoing inflammatory disease of the colon. These fistulas are very common in Crohn's Disease and seen occasionally in Ulcerative Colitis.

  Anal Fistula [posted 8/6/98]
Question: What is the probability of incontinence in a two stage fistula surgery, when a seton is first employed, followed by surgery 2 months later. For instance, what percentage of patients experience incontinence? Also, what degree of incontinence or severity is common, such as occasional gas, or explosive bowel movements? Please describe the likely outcome. Also, can you recommend a colo-rectal surgeon or two in the Wilmington, Delaware area?

Answer: Depends on the underlying cause for the fistula, the length and the chronicity. As to recommendations, call the American Cancer Society and inquire about colo-rectal surgeons that they recommend in your area.



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