Anal fistula repair Q&As
Published by Bupa's health information team, March 2009.
Answers to questions about anal fistula repair
This section contains answers to common questions about this topic. Questions have been suggested by health professionals, website feedback and requests via email.
- Will I feel any pain when I open my bowels after the operation?
- What is the difference between anal fissure and anal fistula?
- Why are there several different procedures for treating anal fistulas?
Will I feel any pain when I open my bowels after the operation?
Yes, you will feel sore for at least a week after the operation.
Explanation
The fistula is usually opened up so that it can heal from inside out. This means you will find it difficult to sit down and will feel sore, especially when you go to the toilet. Straining or stretching the healing wound will also increase swelling and slow your recovery.
It's important to eat a healthy diet to stop yourself from straining during bowel movement. A diet rich in fibre, fruit and vegetables and drinking plenty of fluids can help prevent constipation. Mild laxatives can also help minimise any discomfort during bowel movement.
You can go to the toilet with the dressing in place, but you should make sure that you carefully wash and dry the anal area afterwards.
Further information
- CORE (Digestive Disorders Foundation)
020 7486 0341
www.corecharity.org.uk
Sources
- Zagrodnik D. Fistula-in-Ano. Emedicine. www.emedicine.com, accessed 7 February 2008
What is the difference between anal fissure and anal fistula?
An anal fissure is a tear whereas an anal fistula is an opening or a connection between the skin and the rectum.
Explanation
An anal fissure is a tear in the lining of the anus and is usually caused by straining. An anal fistula is an opening connecting the skin near the anus to the rectum. It usually occurs as a result of an infection or an abscess (collection of pus) in the anus or is secondary to another condition such as Crohn's disease.
Further information
- CORE (Digestive Disorders Foundation)
020 7486 0341
www.corecharity.org.uk
Sources
- Zagrodnik D. Fistula-in-Ano. Emedicine. www.emedicine.com, accessed 7 February 2008
Why are there several different procedures for treating anal fistulas?
The treatment of anal fistula is very complex. The exact type of procedure you have will depend on the type of fistula and the relationship of the fistula to the sphincter muscles.
Explanation
Anal fistulas should only be treated by a specialist colorectal surgeon. Your GP will usually refer you to the surgeon. Your surgeon will perform tests to check the relationship of the fistula to the sphincter muscles. He or she will then decide the best way to treat it.
If the fistula is superficial, it may be 'laid open' to heal naturally from inside out. If the fistula is deep, your surgeon may leave a thread of suture material inside the fistula. This may be left in place for several months.
Your surgeon will advise which type of procedure is most suitable for you.
Further information
- CORE (Digestive Disorders Foundation)
020 7486 0341
www.corecharity.org.uk
Sources
- Zagrodnik D. Fistula-in-Ano. Emedicine. www.emedicine.com, accessed 7 February 2008
Related topics
This information was published by Bupa's health information team and is based on reputable sources of medical evidence. It has been peer reviewed by Dr William Garrett, MIBBS, BSc, FRCS, FRCS(Gen Surg), Consultant Colorectal Surgeon, and by Bupa doctors. The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
Publication date: March 2009.
Anal fistula repair factsheet
Visit the anal fistula repair health factsheet for more information.
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