Seton Location

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tap
Regular Member


Date Joined May 2008
Total Posts : 472
   Posted 10/24/2009 3:47 PM (GMT -7)   
I had a seton installed/applied/attached to me on Wednesday and I'm confused about its placement. My recurrent perianal abscess was located in the direction of my right arm with respect to my anus but the seton was placed directly in front of my anus towards my scrotum. Is it possible that the fistula tracked that far from the original abscess location?

I swear that it starting to feel like the abscess location is going to have to be cut open again since it seems to be getting larger and it gives a tinge of pain when pressed.
44 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day; Culturelle probiotic;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis in 1998


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 10/24/2009 7:05 PM (GMT -7)   
Hello Tap,

My doctors told me that fistula can snake around all over and even branch repeatedly (shudder!!). My abscess was on one side of the perineum but the fistula empties out on the other side. Go figure. I think they have a mind of their own! My setons are red and is quite the fashion statement (not that anyone sees them!). One of my surgeon said to consider them an extreme type of body piercing!

I suggest you but in a call to your surgeon about the pain. My doctors said to call if I had any questions or concerns and I certainly took him up on it! I also spoke to his nurse, who was very knowledgeable and helpful. Did your surgeon really open up the abscess? Or is it a small whole? My surgeon made large incisons for my first two abscesses (opened them up and scaped them out). My third abscess was small, so my surgeon just made a small hole. Well, two weeks later I was back in the OR because the outside of the small hole had sealed before the inside abscess cavity could heal -- so it was abscessing again! I am wondering if this is happening to you. Better safe that sorry -- give your doctor a call (or the surgeon on call).

Let us know how you are doing!

Take care!
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.


tap
Regular Member


Date Joined May 2008
Total Posts : 472
   Posted 10/25/2009 3:46 AM (GMT -7)   
Fortunately, the abscess location seems to be almost back to normal this morning. I didn't check it before my sitz bath but afterwards I could barely tell that I ever had an abscess there other than a large scar now.

I had my abscess opened several times. It all started in early May when he opened it up and drained it. Given that I thought that it was just a extremely painful hemorrhoid until that point I was delighted. After ten days it had sealed shut and became extremely painful again so he cut it open again. That hurt a lot since no anesthesia was used. In another ten days it had sealed shut again and this time no rectal surgeons were available and I ended going to the ER once I started running a temperature where they loaded me up with antibiotics and cut a bigger hole in me for draining it. This time it healed and I had no issues for three and a half months. Then one morning I woke up with pain again, went to the bathroom, and filled the bowl with blood. This time my original rectal surgeon wasn't available so a different surgeon cut me open and she left a whole the size of an almond! She obviously didn't want it to heal shut too soon. Anyway about three weeks later I had the surgery which was this past Wednesday. I did have hemorrhoids the week before surgery. One went away swiftly with some creme while the other (near the perineum side of the anus) refused to go until two days before the surgery when it finally burst. The pain it generated prior to bursting felt a lot like the abscess's pain but it was obviously a hemorrhoid since I could see it.

The fistulotomy/seton surgery left virtually no open area. The skin around the seton seems to be very close to it. The seton has two plastic tails coming out of me then they are tied with string in a couple of places in the middle. Is that just one seton or two?

My rectal surgeon thinks I may have crohns but I had a flex sig within the last few weeks and my GI still considers it to be ulcerative colitis even after testing the biopsies that were taken. I unsuccessfully did a Small Bowel Capsule Endoscopy two weeks ago to look for issues in the small intestine. The capsule failed to leave my stomach in a timely manner. I'm now set up for another with endoscopic placement once I hear back from the insurance company that they will cover it.

Thanks!
44 - male
Flaxseed (2 tablespoons ground) - once per day; Vitamin D3 - 5000 IU once per day; Culturelle probiotic;
Asacol - 2 400mg pills 3 times per day
Diagnosed with pancolitis in 1998


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 10/25/2009 4:54 AM (GMT -7)   
Hi Tap,

I've had some big incisions for abscesses -- nearly 2 inches. That one took four months plus to close!

It sounds like you had a fistula that kept clogging and abscessing. Hopefully the seton you have now will allow the "stuff" from your rectum (or whereever it starts) to drain out and not get caught inside. It sounds like you have one seton. By the way, the best way to clean it is with a hand held shower sprayer. Well worth the money!

Also, are you only on Asacol? I suggest you talk to your GI about other meds that help heal fistulae.

Take care!
Diagnosed with Crohn's in early 2007.  Several peri-rectal abscesses and two fistulae with setons.  Allergic to Remicade and Humira.  Currently on 6MP, and vitamins D and B-12.

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