Discussion
OK, OK, I didn't want to do this but ...
Deeper fistulas – if the internal opening is deeper inside then it is often best not to cut the anal sphincter muscle so different strategies can be used. The part of the track away from the muscle can still be laid open, however. Next we often place a seton. A seton is a piece of suture material or a rubber sling that can be passed from the skin opening along the line of the fistula, through the internal opening and out through the anus. It is then tied to form a loop that can stay in place for some weeks or months. Most people find a seton fairly comfortable – you can go to the toilet and wash normally quite safely. A loose seton is most commonly used. This acts as a wick to promote drainage of any infected material and allows the fistula track to heal gradually around the seton leaving mature scar tissue. This is often the first part of treatment requiring several stages.
Deeper fistulas – if the internal opening is deeper inside then it is often best not to cut the anal sphincter muscle so different strategies can be used. The part of the track away from the muscle can still be laid open, however. Next we often place a seton. A seton is a piece of suture material or a rubber sling that can be passed from the skin opening along the line of the fistula, through the internal opening and out through the anus. It is then tied to form a loop that can stay in place for some weeks or months. Most people find a seton fairly comfortable – you can go to the toilet and wash normally quite safely. A loose seton is most commonly used. This acts as a wick to promote drainage of any infected material and allows the fistula track to heal gradually around the seton leaving mature scar tissue. This is often the first part of treatment requiring several stages.
Kiltie said:
Anyone have (or had) one of these?
Doc says I might have it for six months and I can't imagine living with it for that period of time.
It's ghastly!
Cheers,
Eric<--- keeping on smiling
good luck mate!
I've heard of these before & they don't sound the most dignified of procedures.
My old man had something similar after a seriously nasty abcess went undiagnosed for a couple of weeks (just long enough to become life threatenting).
IIRC it was a steel wire loop which was slowly tightened, to allow scar tissue to form behind it, without ever totally severing the sphincter muscle.
As others have pointed out,
indeed, but the alternative was an operation which leaves you faecally incontinent
IIRC it was a steel wire loop which was slowly tightened, to allow scar tissue to form behind it, without ever totally severing the sphincter muscle.
As others have pointed out,
indeed, but the alternative was an operation which leaves you faecally incontinent
polus said:
LOL I got that at first but perseverance paid off
To those that have seen "the image" is the bloody boil type thing half way across the guys arse hole anything to do with this thing?
whats wrong with me...
Ahhh so they are related , you always see an arsehole under a baseball cap ....
DennisTheMenace said:
LOL I got that at first but perseverance paid off
To those that have seen "the image" is the bloody boil type thing half way across the guys arse hole anything to do with this thing?
whats wrong with me...
Ahhh so they are related , you always see an arsehole under a baseball cap ....
Thanks sugar plum
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