Ishiorectal Abscess and Setons

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Sarah Emma
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Date Joined Jul 2010
Total Posts : 5
   Posted 7/30/2010 7:10 AM (GMT -7)   
  • Hi,
  •  I have been off work now since October 2009.  I had intense pain for  several weeks and then a huge lump appeared on the inside of my groin and I was rushed into hospital to have an abscess drained.  They took out 80 mls of pus out and left me with a big hole 10cm deep by 2.5cm diameter.  This was packed daily and was almost healed but just wouldn't quite heal. So I was sent for an MRI scan.  This showed that I had an Ischiorectal abscess and when it burst onto the surface it also tracked as a fistula into my bowel and pelvic floor.  I then had another operation 0n 30th April to empty the abscess and put in a seton.  The area was left open to heal and also it was packed because it tracked behind my annul sphincter.  District Nurses came in daily to pack the wound and then it was left to me to do.  I am still packing it daily and the treatement room nurse measures the wound weekly to see how it is healing.  It seems to have stuck for the last 4 weeks and just will not heal over.  I have a Seton thread coming out of my annus with a knot and it goes back in through another hole underneath my annus. It is very difficult to put in a dressing.  Going for a bowel movement is a feat in itself because of this wire.  I still bleed sllightly and I am also very sore where the setons rubs. My nurse has suggested putting a foam dressing on either side of the seton to stop the rubbing and this seems to be working.  I have seen two GP's (second opinion) and neither of them will let me go back to work yet because I drive for a living and they say I could undo what I have had done.  I am so fed up and embarressed everytime I tell my work. How long does it take for the seton hole to heal up ? How long will this rubbing go on for ? and what about sex ?  This thing does not make me feel very feminine.
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