Some of the symptoms of anal fistulas, which are found around the anus, are pus, mucus and discomfort. There are different ways to treat them.
How do I know I have a fistula?
Anal fistulas are a connection, superficial or deep, between the anus and the skin around the anus.
Patients who have suffered an anal abscess are the most frequent sufferers of fistulas. However, in the vast majority of cases they believe they are suffering from hemorrhoids. Pus, mucus or anal discomfort are some of the symptoms.
The professional in General Surgery must evaluate the patient by means of a physical examination and a rectal examination. Some tests such as anal ultrasound, pelvic MRI and colonoscopy are also usually requested.
Treatment of anal fistula
The treatment is performed by surgery in order to solve the fistula and maintain the functions of the sphincter, which are to contain gases and feces.
The intervention can be performed with the following techniques:
- Complete removal of the fistula (if it is superficial),
- Placement of fishing lines in the path of the fistula,
- Covering of the fistula with the tissue of the anus.
Postoperative period of the anal fistula
After surgery, the patient will spend 24 hours in the hospital for medical surveillance. Once discharged, medical professionals recommend a diet rich in fiber and drinking plenty of water. Sitz baths with lukewarm water 3 times a day and after each bowel movement are also recommended. All this is complemented and accompanied by anti-inflammatory medication for pain and discomfort. The patient will have to attend the surgeon’s office for as long as the surgeon deems necessary until complete and correct healing.