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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
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
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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