Blog Header Image tt

How painful is fistula surgery and can fistula come back after surgery?

Goficure - Blog Page - How painful is fistula surgery and can fistula come back after surgery? (Blog Post) Last Updated April 27, 2024

Overview

A fistula is an infected channel or connection that develops between two organs. The medical condition can occur at any part of the body but the most common are anal fistulas.

Fistulas that cannot be treated with medications need surgery. A anal fistula surgery is performed to remove anal and rectal fistulas.

The surgeon may perform a fistulectomy to cut and remove the connected tissue or fistula. It is generally an outpatient procedure and is typically performed under general or local anesthesia.

Alternatively, the surgeon can use a seton drain placement to drain the infection to treat a complex fistula and keep the fistula under control.

How painful is fistula surgery?

Related posts

You may experience mild to moderate pain along with some discomfort after a fistula surgery. The pain may vary from individual to individual.

Tips to manage pain include the following:

  • Take prescription pain medications. After one or two days, the pain will subside
  • The application of cold packs can reduce inflammation and pain
  • Warm sitz baths promote healing, reduce inflammation, and provide comfort
  • You may experience difficulty in urination. Soaking in warm baths relaxes the sphincter muscles and helps in urination
  • Avoid activities that are strenuous for a few weeks post-surgery
  • Apply topical ointments to the affected area as prescribed
  • Take ample rest to promote healing
  • Seek support from friends and family to help you during the post-surgery phase
  • Laxatives can soften the stool and reduce pain during bowel movements

There may be some rectal bleeding or drainage which is normal. Consult the doctor if there are symptoms of clots and profuse bleeding.

Consume lots of fluids, fruit juices, and water to keep the body hydrated, reduce constipation, and help in urination.

If you are experiencing severe pain or discomfort, do not rush to go home. Stay in the hospital for a few days to assess the symptoms, otherwise, it can cause severe complications.

Image

Can fistulas come back after surgery?

A recurrence of the fistula means the clinical reoccurrence of the condition after complete healing after the procedure.

The chances of recurrence of fistulas depend on several factors:

  • The severity of the symptoms and location of the fistula
  • Type of procedure performed
  • Surgeon’s expertise
  • Post-surgical scarring
  • Patient’s overall health
  • Excessive fibrosis
  • Improper post-operative care
  • Post-surgical complications
  • Incontinence or damage of the anal sphincter muscles
  • Post-surgery infections
  • Comorbidities
  • Fistula anatomy
  • Poor hygiene

Studies show that fistulas tend to recur even after a surgical treatment. The recurrence rate may differ from 7-21% depending on the type of fistula, procedure performed, and other factors. Therefore, a patient may need multiple fistula surgeries.

It is very important to take proper care after the surgery, heal the body, and take necessary precautions to prevent recurrence.

To treat recurrent fistulas, the doctor may perform certain tests like an MRI (Magnetic Resonance Imaging) and endoanal ultrasonography to assess the causes of recurrence.

Recurrent fistula treatment is challenging and requires surgical precision and extensive experience. The surgeon should have the necessary skillset and expertise to navigate through the complex fistula anatomy and treat the condition.

Stop your suffering NOW

Don't just jump into a surgery because your doctor is advising you to go for it. Consult our doctors to know if you need a surgery at all. Rest assured, we WON'T recommend you surgery unless it's the last resort.

Trending posts

Final words

Certain medical conditions like diabetes mellitus can delay healing after the surgery. Patients with a previous history of fistula surgery are more likely to develop fistulas in the future. Early and proper wound care during the first 6 weeks after a fistula surgery is crucial in providing complete healing. A delay in wound care or poor hygiene can lead to infections and eventually recurrence of the disease.

Dos
  • Take proper care of the wound post-surgery to promote faster wound healing
  • Follow up with the doctor for wound dressings and postop care
  • Consult a doctor immediately for sudden high fever, nausea, profuse bleeding, or other symptoms
Don'ts
  • Take spicy foods after surgery
  • Ignore signs of bloating, gas, or excessive pain
  • Avoid taking medications as prescribed

Consult a doctor

Patient name is required
Mobile number is required
Condition is required