Can my anal fistula come back after surgery? | Dr. Chung explains.

[@yourfriendlyproctologist]

Thanks so much for watching! Anal fistulas can be complicated so I recommend you see a proctologist to have the best chance of treatment. Let me know your thoughts!

[@khanumdamani2447]

I have anal fistula about 1.5 year .how many years people live with fistula and how many chances of reoccurring after fistula treatment........

[@LOVELYEBONIA]

what if there is no proctologist here in our place in Philippines? To what kind of doctor should I go to instead?

[@jaypuropuro1941]

@@LOVELYEBONIA hi ma'am did u already seen by a colorectal surgeon in your place

[@ahes007]

I appreciate the way you explain and break down the condition. I am going on my 6th surgery in the last 2 years. Unfortunately my case ended up being very complex. I hope I can have it resolved without going this many surgeries again. It's been more than difficult

[@Blessed_22]

So sorry to hear this.. my heart goes out to you

[@Cute_Marshall1]

Please how is the recovery process after anesthesia have wear off

[@ahes007]

@@Cute_Marshall1 It all depends on the severity of your condition. There are several types of fistulas that can range in complexity/recovery. Generally speaking, if your case isn't complex, fistulotomy's should resolve the condition in a surgery or two with pain depending on how much tissue and muscle is affected. The only way you'll get as close to an answer as possible before your surgery is to get an MRI and have your surgeon look over it to determine the location and severity. I can't emphasize it enough though, get a specialist. Find a Colorectal surgeon because general surgeons typically don't deal with complex cases and I found that out the hard way. All of my surgeries had varying levels of pain, with the first 2 weeks being the most difficult.

[@Cute_Marshall1]

@@ahes007 okay thanks so much mine is fistulotomy I guess it is a simple fistula not that complex

[@Cute_Marshall1]

@@ahes007 I have hemorrhoid too I don’t know if I should remove the pile too at once with the fistula but the pile is not disturbing me or bothering me

[@Castriot1]

Dr Chang deserves an Oscar in Medicine. ❤❤❤❤❤Respect Love Forewer

[@philipbarcena2113]

May the good Lord Heal us.Amen

[@rawlcampbell6451]

Hallelujah. Amen.

[@giovanniejones4907]

Amen

[@arreystevone3953]

Amen 🙏

[@johnmahilum9312]

In Jesus name Amen🙏❤

[@Stonbreas]

To anyone struggling with this condition please don't read the comments. I feel like my research and the comments don't match up. I hope that the people in the comments are extreme rare cases. I had a double fistula which the doctor called 'complicated fistula' and I just had surgery to drain abscess and place a seton for the first fistula and the doctor told me I will have the seton for 6 weeks after which we will begin treating the second fistula. I am totally scared and terrified and the comments I read here made it worse because they said they have been having 5+ surgeries to no avail. I really hope that's not the case from me. Doctor, I am not looking for medical advice, just reassurance and hope that I could be healed fully, preferably within a few months.

[@andreslara9522]

im confused. you read the comments but are in distress due to contradicting info? Everyones surgery process will be different.

[@xyz000-km2nv]

How you feeling now

[@sagartripti]

How are you feeling now?

[@Stonbreas]

@@sagartriptii am doing just great. My second surgery was successful and my fistula has completely healed and no sign of recurrence for 3 months now! I am really happy with the way things turned out!

[@sagartripti]

@@Stonbreas good to hear that, I have an appointment scheduled next week with the surgeon to see if I suffer from fistula or not. I have small bumps in the bottom which bursts puss/ blood 😞 suffering from fissure since last November so I think it's caused that. Wondering how I can develop these so early 😭😭😭 quite scared of the surgery TBH 😭

[@sillesrepa8249]

I had surgery for my fistula 2 days ago. I was expecting the ring of fire down there after surgery. But I don't have that much pain at all. Now hoping it heals up pretty well.

[@dakimohamed1384]

What procedure did they do?

[@sillesrepa8249]

@@dakimohamed1384 Fistulotomy. Soo they cut open the fistula to heal. Its been 8 days now and I'm back to work with no pain at all. Only using toilet paper is annoying and having to jump under the shower after a bowel movement is kind of annoying but I'm glad thats the only thing that is bothering me.

[@TechyAviral]

@@sillesrepa8249 how was the pain after bowel movements. Bearable?

[@tenderpawsm473]

@@TechyAviral After a standard, lay open fistulotomy, there was not much pain. I just hope this works. This was my second time having fistula procedures. (A year ago, I had a seton placed for 7 weeks). I think if you have Lift, that is quite a bit more painful.

[@TechyAviral]

@@sillesrepa8249 ?

[@rociomeneses3747]

How long is it ok to take stool softeners?

[@vossboss220]

I'm so discouraged 😞 My fistula came back a mere 3 months after my operation. My surgeon let me know there was always a chance but i didn't think it would be so soon. After such a painful recovery period with expenses and downtime from my job, I atleast could enjoy a month and a half of not having to worry about it.

[@mindtalkstv]

until we chnage our life style it will reoccur

[@larrydemonte2218]

I just got a Fistular reoccurrence I had to go to the emergency room and they had a lancet open, I have never felt so much pain in my life ever I don’t wish it on my worst enemy and she had a packet. Also, I can’t believe the screams I was letting out, my surgeons on vacation so Friday the day after Thanksgiving I’m gonna go see the doctor see where we’re going to take this, pain like you’ve never felt before

[@ahes007]

I hope your recovery starts to get better and you can start to feel better/manage your pain. If you have reoccurring fistula and it comes back again, you should request a referral to a Colorectal surgeon if you don't already have one. General Surgeons do not typically have much experience in complex cases, at least in my own personal experience. I have had MANY surgeries for the same condition and have learned different ways to manage it. Warm baths with Epsons multiple times a day really helps with the flare ups

[@sagartripti]

​@@ahes007how are you now??

[@nothing-ye7bw]

Thankyou...you are so insightful 🙏 please advise me is VAAFT a good option for intrasperic

[@MrCandyTsai]

Thank you for the information. That really answers my question.

[@mrc2165]

I have Kaiserr and need this surgery. The surgeon would be a colo-rectal surgeon. Does this sound like the right surgeon ? Tnx

[@rockandblues3635]

thank you doctor, fistula is so painful unbelievable

[@charitysalud4314]

What is the secret to complete heal ? I'm done minor surgery last 2 months

[@rockandblues3635]

@@charitysalud4314 @ I have high complex fistula, I have 11 surgeries, 2 setons, 2 clips there's no secret, mine take 3,5 years to heal completely and hope never return, so what kind fistula do you have

[@jaypuropuro1941]

@@charitysalud4314 how are you now ma'am what procedure do to your fistula

[@mufalalimuwana2489]

I usually have both fissure and fistula am always in pain when passing bowel movements 😢😢

[@abdiqaniadan2349]

Hey dr which state you’re thanks for the information

[@shellybelle6781]

I will never shave there again. I got one because of shaving . Mine closed this week after a year of I’m so happy!! I stuck with what I was doing to make it close this month . I used Burt’s bees hand salve and makeup pure cotton wipes to catch the pus when it comes out. It closed . All the pus is drained .Thank God

[@shellybelle6781]

I will never shave my butt again 😂. Wax forever

[@cholachifumbano4885]

It's a painful process and depression does kick in. I have had four surgery or operation. But the pus is power high and I don't know how I can manage it any more . And I usually put a pad to trap the pus. How long can a person live with such a condition?

[@yourfriendlyproctologist]

Sorry to hear your story. People can live a very long time with anal fistulas. Wish the best for you.

[@MohsinAli-lx3hp]

How is your condition now?

[@juantejada9148]

I have had 5 surgeries and this final one I thought was going to be my last and instead they placed a seton again. It definitely takes a toll on my mood and my depression kicks in. Im hoping one day I wont be dealing with this. My doc says I have a really long track.

[@techstark4503]

@@juantejada9148 hey how are you now?

[@davidhypes5228]

Thanks for the information. I have Crohn’s disease and just had a fistulotomy yesterday. I have had several internal fistulas within my bowels, but this is my first one that came to the outside. It is a very painful surgery and I pray this is my only one with no reoccurrence, but I do have Crohn’s so……

[@deepanshu1456]

How are u now ?

[@zen5704]

Where is the VAAFT available please

[@waheediqbal7880]

I got preanal fistula 3 months ago it not getting better but lot of puss coming out and pain is getting settled my question is that do i need surgery

[@naveenjatthr4072]

​@PritamThakur-th4piAbe gawar ye English bol rha ha thoda to akal lga ye Indian nahi hoga

[@msgrubbster]

You should definitely get the surgery. My son did, go get checked asap.

[@Tanimola]

Gotten the surgery?

[@jaypuropuro1941]

Hi Dr. Chung can you make a Vedio how the proper hygiene after post op of fistula please and Thank you

[@yourfriendlyproctologist]

Sure! it has been added to the list.

[@SreekanthUndela]

@@yourfriendlyproctologist Please make a video on Post operation care & healing process of fistula wound... No where I find this.

[@nazsigoreng]

I undergone fistulectomy a week ago. It was just a simple fistula. After a week of recovery, it shows signs of infection and the surgical wound was starting to opening day by day. Went back to see the dr but all he said was just do dressings after sitz bath. Now the surgical wound, I guess, is opened completely that I myself can even see the opening hole going inside. I don't even know what I should do anymore

[@rioindrawan4773]

Hi , are you recover now ?

[@ety3144]

Get a different doctor to check it.

[@tenderpawsm473]

Naszsigoreng, your doctor performed fistulECTOMY? My doc said that technique was not preferable.

[@Tanimola]

@@tenderpawsm473what method did your doc use?

[@Deepsidhu1233]

How much would cost if I need surgery or which insurance I should get

[@rosemaryandrews1001]

Thank you😊

[@JOANNEMARIEPATOC]

Hi doctor ,Thank you for video. Hope you kindly reply,I had surgery 6 months ago perianal abscess and today i experience rectal bleeding because of hard stool . What is the possibility it would likely come back ,Im anxious because of this. Thank you!

[@Kristo22T]

Do recto vaginal fistulas have the same reacurance rate?

[@the_chosen_ones_odabrani]

And what about Alofisel?

[@Kru5hit]

Hi - Thoughts on jpouch with complex fistula? Jpouch was done because of UC and couple years later fistula happen. They believe now it's crohns sadly. Just wanted to know if you come across someone like this and was able to see positive results on patient? thank you!

[@AirQuotes848]

You seem so sweet Dr🥰

[@mohdkhairul9571]

Hi doctor, is it possible after fistulatomy surgery there is popp out at the open wound? I already done the surgery last week and evertime i cleaned the open wound there is a pop at the area.

[@turagsoy6719]

You should need the siltz bath to clean the area, 2 to 3 times a day.

[@Julian-ir7fp]

Hello doctor i had surgery already and that aera is fine now but now im having issues in another area now can that happen it comes back in a different area im so defeated

[@sagartripti]

How are you now??

[@kinchan6681]

Hi Dr. Chung, I had a Fistulotomy 18 months ago. Will the fistula return to the same spot after the surgery?

[@xyz000-km2nv]

How u feeling now, is it completely ok

[@tankimpoh7212]

Had my lazer operations about 5-6 week ago it heal and burst again , and it always heal on the outside first which makes it frustrating for me

[@sagartripti]

How are you now?

[@tankimpoh7212]

@@sagartripti doing good

[@sagartripti]

@@tankimpoh7212 did you have another surgery? Or it healed on its own?

[@tankimpoh7212]

@@sagartripti i have two surgery 1 month apart and after that it heals slowly

[@sagartripti]

@@tankimpoh7212 and was it both laser treatment? How long has it been since your surgery and have you recovered fully?

[@nathanhall7103]

I had my fistulotomy about 3 weeks ago. Pain was horrible. Got constipated 4 days afterward, and that cleared up. The post surgical pain went away afterwards but here we aremay 27th and the pain is back 10 fold. I think its a recurrence. Whats your take. Im calling the suregon monday

[@basmdaka6954]

Are you a frequent porn and masturbation addict? I would like to help

[@abhilash6200]

I had the surgery 5days back... During dressing I am having unbearable pain..... Now wound is dried as per doctor observation but I am worried that it will repeat again

[@abhilash6200]

Yes for me also it took 4 days for toilet but 1 day I suffered with blockage of urine too... Doctor cleared waste through his fingers

[@sagartripti]

​@@abhilash6200how are you now?

[@pamelakelley5535]

I had the surgery 13 yrs ago. It is just now having some issues. May have to have surgery again

[@perfecthomebysk3490]

I had anal fistula. Performed vaaft procedure 10 weak ago, now wound healed completely. mild mucoss in stool is present .no other problem.can I still perform sitz bath

[@sagartripti]

How are you now??

[@zen5704]

Where did you get this VAAFT please on NHS or private

[@perfecthomebysk3490]

@@sagartripti completely healed

[@perfecthomebysk3490]

@@zen5704 Peshawar Pakistan

[@shreddt]

Thank you for the information doctor. Can you live with a fistula ? cause all of these surgeries look to have no end. Im 42 with no history of medical ailments. 8 months dealing with an abscess . First had it opened and is still draining but a new abscess formed that made its own drain... level 6 of pain but not sidelined. Do tons of jiu jitsu and surf.. thoughts ? I have a proctologist that i trust , got a 2nd opnion and now im waiting for a MRI .

[@haveks1215]

I was wondering the same thing doctor? Can you live with anal fistula even if you want to go through the pain and other cons that come with it? Because I agree with the surgeries having no end, but I want a 2nd opinion about it. I’ve seen online that it says it could lead to cancer if left untreated is that true or false? Btw I’m only 23 & every doctor always tells that I’m very young to have this and that’s it’s very rare for my age.

[@exploringnaturalbeauty2102]

​@@haveks1215 it's not rare for any age , I got it at 22 how are you now ??

[@sagartripti]

​@@exploringnaturalbeauty2102how did you heal it??

[@exploringnaturalbeauty2102]

@@sagartripti I had to ultimately go through surgery , but I am fine now..

[@asmitsingh6633]

​@@haveks1215 I got it at the age of just 17

[@jaypuropuro1941]

Hi doc. I have a question for you can abscess make gassy or farting thank you.

[@yourfriendlyproctologist]

I'm sorry, I don't quite understand what you are asking.

[@jaypuropuro1941]

I mean doc. Can abscess trigger for always pass gas or farting are they related thank you for replying doc. God bless

[@aiaangle1659]

@@jaypuropuro1941 no they don't

[@binteadam4010]

Hey doc kindly reply. I've had constipation issue since childhood. On random and first checkup regarding this I've visited doc in January 2023 she diagnosed me with fistula and pus in it. I took antibiotics course of 7 days. After 2 weeks when I went to that doctor again there was another doctor she said there's nothing except fissures. On my insisting she call the first doctor who diagnosed me with fistula n then they said if it's not bothering you then there's no need of surgery. I've never seen pus on my cloths, I've increased my water intake there's no constipation n bleeding after that. So what should I do? Should I still go for surgery? Or for how often should I go for an exam? Please answer as it was shocking for me.

[@sagartripti]

How are you now??

[@nadiabonnici7788]

i went to a doctor like you as i was having itch and bleed and he saw nothing but told me to make the skin tag operation ,which i did but still the itch still there and they didn,t say anything about me having this problem but i,m beginning to suspect it,s this i got cause i feel it but they only see the hemmoroids cause they came out again and it,s right behing the lower hemmoroid but doesn,t show i can only feel it

[@sagartripti]

How are you now? Did you get a diagnosis??

[@nadiabonnici7788]

after i think 2 years it healed on it,s own, who knows what it was

[@khalidboulesbaaarchtpmp2221]

I had a fistula repair surgery 14 months ago, I'm definitely feeling better but I'm still having some mild pain when I'm sitting and some burning and itching after bowel movement. I went back to my doctor, she couldn't figure out the issue. What could be the problem?

[@yourfriendlyproctologist]

It's very hard to say over comments. I would seek out another opinion.

[@vrankyrule]

What kind of surgery

[@khalidboulesbaaarchtpmp2221]

Anal fissure and fistula repair. First the surgeon cleaned the fistula and placed a Seton for 2 months. then She took the seton out and closed the fistula from inside. I think this procedure is called "Anal Fistulotomy" Thank you.

[@vrankyrule]

@@khalidboulesbaaarchtpmp2221 this is not fistulectomy...

[@TechyAviral]

@@khalidboulesbaaarchtpmp2221 how you doing now? all ok?

[@PrinceKumar-ib9ec]

Hello Dr. I got my fistulotomy a month back. Everything is going fine except the drainage little yellow pale colored liquid. Is it normal?

[@msgrubbster]

I highly recommend you go get the surgery go get a checked out it may be superficial. Go now before I continues to grow.

[@Tanimola]

Has the drainage stopped ???

[@lilik1989]

Mulțumesc frumos dacă puteți traduce ln Romaneste

[@johnyweedseed9551]

I think I have one I got a cyst 5 months ago Took three months before I got another one and I keep getting an abscess every 10 days now happen 4 time

[@matchmusic8504]

The doctor removed my fistula and put a stitch on the rectal wall and it fell off in 6 days...so I am afraid that this fistula will happen again..

[@jayraj22]

So did it reoccur again?

[@goldyb787]

I want to ask something dr. > I had fistula in ano 5-6months ago and i got it removed by surgery (fistulotomy). What i want to ask is that is it inevitable for fistula to return ? I mean will it reoccur to me again? >Also there is a kind of hard tissue in the place of surgical scar (it doesn't hurt or something). Is it signs of it recurring? Pls reply sir

[@yourfriendlyproctologist]

Time is the best test for recurrence. In terms of the scar, you will need to ask your surgeon as I don't know your details.

[@moodyznx21]

Thank you doc but I have a question is it normal when your fistula opens a very little after surgery? And I did the surgery 1 year ago

[@yourfriendlyproctologist]

You will need go see a specialist for an examination.

[@zahratariq962]

How can I contact you?

[@yourfriendlyproctologist]

You can email [e-mail] if you are looking for a video consultation or you can call the office for an in-person consult.

[@clancy9438]

I've had an abscess before and it's come back about 4 times now but it only came back super small and didn't hurt much at all. It healed over and had a small bump then burst. The only thing I can think of is a fistula, but it doesn't hurt at all or give off a smelly discharge. Are there cases of "mild fistulas"?

[@yourfriendlyproctologist]

There are simple and complicated fistulas.

[@TechyAviral]

how you doing now?

[@jutoyzkavlog3354]

I had fistula surgery 2 times first one is fistulotomy and it come back. The second one is lift Fistulectomy today my 23rd day after surgery i still feel some pain in my butt and I think it's back again 😔 I'm from Philippines

[@TechyAviral]

How you doing now?

[@ishpreetkaur4200]

how r you now did u have another surgery?

[@robertcunanan1297]

Musta na ngayon sir

[@LouieLotlot]

Saan ka nag pa opera kap?

[@jutoyzkavlog3354]

I'm totally healed now after my third surgery. Dr. Kenneth yabut is my doctor

[@LOVELYEBONIA]

Is it okay to breastfeed a newborn while having anal fistula?

[@yourfriendlyproctologist]

Yes!

[@rohinijadhav2656]

Got anal fistula after normal delivery, dont know the reason why it happen I m also breastfeeding a newborn, had fistulotomy surgery 3 days ago, but afraid of recurrence

[@shellashella5877]

⁠@@rohinijadhav2656hi, is it your surgery success? I also have a fistula after normal delivery. My surgeon told me to wait and see, they said no need to take a surgery. The fistula can be heal itself.

[@respecteveryone8295]

Thank you doc . I got second surgery one month ago . Is so hard and painful . I still has a lot drainage . I got seton . Is it normal doc thanks . New sub.

[@yourfriendlyproctologist]

Drainage is very normal and expected. Definitely check with your surgeon if you are concerned. Wish you the best.

[@MohsinAli-lx3hp]

How is your condition now?

[@respecteveryone8295]

I got my three surgery still healing but it better then before . Because my seton it didn’t came out by it self. She said your seton it work very good it healed all most inside . Thank you for your asked b me

[@goldyb787]

You said most of the surgeries are successful . Does that mean that (lets assume ) out of 100 patients most of the people won't be getting it back?

[@yourfriendlyproctologist]

It depends on many factors known and unknown. Most people do have success on the first try.

[@goldyb787]

@@yourfriendlyproctologist thank you very much sir for the reply. I have a kind of hard lump (no pain or anything just a tiny bit of hard tissue ) i am confused is it thick scar tissue or is it growing back? Pls sir 🤧

[@rapunzelmaala1338]

@@yourfriendlyproctologist doc.what do you called if you have a fistula on both side of butt.

[@charitysalud4314]

@@yourfriendlyproctologist for.me doc this my firts surgery fistulomy procedure .last February 2022. But today have a small wound present is natural ? How many months to complete closed and healed the wound up?

[@TechyAviral]

@@charitysalud4314 how you doing now?

[@shreepatel7813]

Hello doctor! How can we clean before we puting any antibiotics ointment. Can you please help me .

[@yourfriendlyproctologist]

I would take a shower or a bath to clean yourself.

[@kuangziangfoong3569]

In additional, please soak your ass in warm salt water, after pass through stool everyday.

[@vuho2075]

Why are you so happy? Why? Answer me. WHY ARE YOU SMILING LIKE THAT?

[@foodmagic1756]

Hi doc, just want to ask i just april11,2024 had my fistulectomy for 5months now, no symtons and nor pain. I just notice near my anus there was deform small hole and watery,creamy white coloured drainage but small amount only. Is it part of healing process or sign to concer and worried about it?

[@vossboss220]

I have the exact same small hole near the operation area along the scar tissue. It's concerning. I had to reschedule my follow up appointment because I want to know asap

[@benoitmonette5844]

Hi Doctor, thanks for your video. I had surgery 5 weeks ago, surgeon said it was simple, healing went ok but feeling pain again sometimes which is quite similar to the pain I had before surgery. Wondering if normal and part of healing process or if I should consult. Thanks again.

[@yourfriendlyproctologist]

You will need to speak with your surgeon about your condition. I don't know what was done in your surgery.

[@AmarKumarr959]

Are you fine now?

[@yayaraft]

The outer tunnel of my fistula is clogged and turning black, its red now, am I in risk of cancer?

[@yourfriendlyproctologist]

I'm unable to comment since I haven't seen you. I recommend you see a specialist in your area.

[@aniutrahim1742]

How is your fistula today? Is it healed?

[@srem7040]

i have a question my fistula hasnt healed for almost a year and it hasnt healed yet it got smaller but sometimes it gets bigger and im getting worried since most people heal in a month or so and mine hasnt healed for more than 6 months

[@yourfriendlyproctologist]

I advise you see a specialist near you.

[@iccc998]

It doesn't heal on its own. You need surgery

[@DNAatWork14]

Deja vue 😢. I’m back, bad diarrhea and me trying to convince myself it’s IBS, please god give me a hemorrhoids instead. Let the blood be hemorrhoids. But I have puss now.

[@csamresh]

I had fissure and internal and external haemorrhoids. I had gone through LIS and laser hemorrhoidectomy surgery 11 months ago. But this fissure and white discharge keeps coming back after surgery. From last 1 month, it is really painful but I tried to manage the pain but nothing helped. Yesterday I visited my surgeon again and he is suggesting for Trans rectal ultrasound because he think it’s fistula. Can my earlier surgeries cause fistulas?

[@yourfriendlyproctologist]

Consider a video consult with me. I would need more information.

[@LupiFem]

I had my second surgery one month ago and I am afraid as hell for it to come back. I have anxiety disorder which does not help.

[@sagartripti]

Was your surgery successful? How are you now?

[@LupiFem]

@@sagartripti No, it came back. I had laser surgery and the fistula was not tight enough to be treated with laser. I changed my surgeon and he will use laser and a fistulotomy. Currently I am waiting for the third and, hopefully, final surgery. Thanks for asking :)

[@sagartripti]

@@LupiFem oh sending prayers for your speedy recovery. These things are really difficult to navigate through 😞

[@msgrubbster]

My son just had his surgery too make sure you’re keeping it clean like Super Duper clean.

[@gaalelio]

What surgery method would you use if the fistula is right below the anus?

[@Prmmani]

It Came again after my consumption of chicken meat

[@whitesteamerstephens1379]

Thank you for information, just confirms that fistulas is not easy to cure...hip replacement, cancer cures, whatever problems seems to be do- able, yet pain in the bum problem...can- no- can- do- Thus (prayer) Body Please heal thy self.