Fistula Flap Surgery, and seton questions (newbie)

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New Member

Date Joined Aug 2010
Total Posts : 2
   Posted 9/5/2010 9:23 AM (GMT -7)   
Hi there,

I had a drainage seton put in 3 weeks ago for an anal fistula. Things are a bit itchy down there, especially if I go for a long walk. I am normally very outdoorsy and athletic so I would really like to continue, but does anyone have a good suggestion for reducing the itch? I need a solution that will not interfere with my seton (i.e., i am worried that aquaphor will erode it!). My Dr (colo-rectal surgeon) made it sound like I should keep everything extremely dry, which basically sounds to me like I am SOL on this....I am not sure exactly what is itchy, maybe just the skin, maybe the seton poking me? Not sure....

Also, has anyone had the flap surgery? I was under the impression that it would mean 5 days in the hospital and weeks of rest afterwards, however my Dr said its either outpatient or one night in the hospital and that I could return to work after one week. Haha, should I believe her? Are there different kinds of lap surgery maybe?

Thanks for your help!!

Abscess started in December 2009 then Fistula since March 2010 (pregnancy related?)
No Crohns

exit 4
Regular Member

Date Joined Apr 2009
Total Posts : 148
   Posted 9/5/2010 10:36 AM (GMT -7)   
I had drainage seton in for 6 weeks, for about 4 weeks it hurt but then I hardly even notice it. I did not have a flap op but a plug - it did not work - got infected. thats when i got a drainage seton put in. A week in a hosp for a flap sounds about right to me as you will not be able to eat solid food for few days.

Elite Member

Date Joined Sep 2005
Total Posts : 10404
   Posted 9/5/2010 3:48 PM (GMT -7)   
Hi Jen, and welcome,

You might like to look at the fistula link in my signature - lots of good stuff in there.

As far as the itching goes, a little gauze pad or piece of toiilet paper over the wound might help. It's possible some of the leakage is irritating your skin. A bit of olive oil, nappy rash cream or zinc cream on the itchy part might help too.


Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~

Regular Member

Date Joined Apr 2007
Total Posts : 208
   Posted 9/6/2010 4:49 AM (GMT -7)   
I had 2 draining setons put in 4 weeks ago. I found that Desitin does help with the itching. So does keeping a gauze up there to catch the drainage. Baby powder helps me as well. Here's to your quick healing!!!!

New Member

Date Joined Aug 2010
Total Posts : 2
   Posted 9/6/2010 8:49 AM (GMT -7)   
Thanks for the tips!!!

I am just worried about those creams "eroding" my seton....which only will be in place another 10 weeks (then I am having flap surgery).

Ivy, I have already scoured the postings through those links! Thanks for the tip though!!! Super helpful stuff you have here, but not much conversation on flap surgery.....

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