What does a perianal fistula look like?
An anorectal or anal fistula is an abnormal, infected, tunnel-like passageway that forms from an infected anal gland. Sometimes an anal fistula works its way from an internal gland to the outside of the skin surrounding the anus. On the skin, this looks like an open boil.
How painful is a fistulotomy?
Following your fistulotomy, you may experience some mild to moderate pain or discomfort in your rectal area. You may also experience constipation, difficulty urinating, and possibly some rectal bleeding. The following are some general guidelines for proper care after your procedure.
How serious is a perianal fistula?
Anal fistulas can cause unpleasant symptoms, such as discomfort and skin irritation, and will not usually get better on their own. Surgery is recommended in most cases.
How long does discharge last after fistulotomy?
You may notice a small amount of pus or blood draining from the opening of your fistula. This is normal in the days after your surgery. You can put a gauze pad over the opening of the fistula to absorb the drainage, if needed. Most people can go back to work and their normal routine 1 to 2 weeks after surgery.
How do you clean after fistulotomy?
- You may have gauze and bandages over the opening of your fistula, and you may have a string coming from the fistula called a seton drain.
- After a bowel movement, use a baby wipe or take a shower or sitz bath to gently clean the anal area.
How long does fistulotomy take to heal?
It may take 3-12 weeks to fully recover from a fistulotomy.
How long does a fistulotomy surgery take?
A fistulotomy can take anywhere from 30 minutes to an hour to perform, depending on the size and location of the fistula.
Do fistulas smell?
The genital area may also become sore or infected and there may be pain during intercourse. Women with a rectovaginal fistula, or a leak between the rectum and vagina, may include the passage of foul-smelling gas, stool or pus from the vagina, as well as pain during intercourse.
Should I put my dog down if he has perianal fistula?
Anal furunculosis is well known as a difficult and sometimes frustrating disease to treat. Recent treatments have shown encouraging results but euthanasia may need to be considered if your dog is very seriously affected or if your dog’s temperament makes home treatment difficult.
How do you prevent perianal abscess from coming back?
In addition to adequate drainage, one should endeavor to prevent acute recurrence of an abscess by either excising the overlying skin, inserting a drainage catheter, or placing a loose seton. Most perianal abscesses can be treated in the office setting.